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Organization
EVERGREEN COUNSELING SERVICES, LLC
Active
Organization
EVERGREEN COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY HELEN NIEDEREHE LCSW (MANAGER)
(608) 827-0400
Entity
Organization
Contact information
Practice address
6502 GRAND TETON PLZ, MADISON, WI 53719-1047
(608) 827-0400
(608) 276-5744
Mailing address
6502 GRAND TETON PLZ, MADISON, WI 53719-1047
(608) 827-0400
(608) 276-5744
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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