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Organization
COVENANT COUNSELING ASSOCIATES, INC.
Active
Organization
COVENANT COUNSELING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK D. CZECHOWICZ M.A. (PRESIDENT)
(262) 681-7163
Entity
Organization
Contact information
Practice address
4801 WASHINGTON RD, KENOSHA, WI 53144-4206
(262) 654-5255
(262) 681-7791
Mailing address
1800 SEPTEMBER DR, RACINE, WI 53402-1856
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1258
WI
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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