# NORTHWEST JOURNEY - WAUPACA COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST COUNSELING AND GUIDANCE CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689983157
- **Legal business name:** NORTHWEST COUNSELING AND GUIDANCE CLINIC
- **Authorized official:** NICK KALAMBOKISIS (CFO)
- **Authorized official phone:** (715) 327-4322

## Contact information

- **Practice address:** 310 E MAIN ST, WEYAUWEGA, WI 54983-8938
- **Practice address phone:** (715) 867-4744
- **Practice address fax:** (920) 867-4213
- **Mailing address:** 310 E MAIN ST, WEYAUWEGA, WI 54983-8938
- **Mailing address phone:** (715) 867-4744
- **Mailing address fax:** (920) 867-4213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 2922 | WI | Yes |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 10/01/2010