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Organization
IMPACT COUNSELING SERVICES, LLC
Active
Organization
IMPACT COUNSELING SERVICES, LLC
Active
Other names
ICS-Family Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A HINZ (BUSINESS MANAGER)
(715) 369-6955
Entity
Organization
Contact information
Practice address
17A W DAVENPORT ST, RHINELANDER, WI 54501-0742
(715) 369-6955
Mailing address
PO BOX 13251, 15655 COUNTY ROAD B, HAYWARD, WI 54843-3251
(715) 634-0607
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
42221700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42221700
—
WI
Enumeration date
12/03/2008
Last updated
12/03/2008
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