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Organization
CREDENCE THERAPY ASSOCIATES INC
Active
Organization
CREDENCE THERAPY ASSOCIATES INC
Active
Other names
Credence Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM ANN STEEN LCSW (DIRECTOR)
(262) 723-3424
Entity
Organization
Contact information
Practice address
1 1/2 W GENEVA ST, ELKHORN, WI 53121-1722
(262) 723-3424
(262) 723-8308
Mailing address
1 1/2 W GENEVA ST, ELKHORN, WI 53121-1722
(262) 723-3424
(262) 723-8308
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1262
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17257700
MAGELLAN BEH HEALTH
—
01
—
42168400
CENPATICO
—
05
—
42168400
—
WI
01
—
42169400
HIRSP
WI
01
—
538578
DEAN CARE
WI
Enumeration date
09/02/2005
Last updated
12/29/2014
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