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Organization
ASSOCIATED COUNSELING AND RECOVERY CENTER LLC
Active
Organization
ASSOCIATED COUNSELING AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH A POLLARD MSW LCSW (CLINIC DIRECTOR)
(920) 907-0097
Entity
Organization
Contact information
Practice address
551 W JOHNSON ST, FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109
Mailing address
551 W JOHNSON ST, FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42209700
—
WI
Enumeration date
12/04/2006
Last updated
11/29/2010
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