# NORTHWEST COUNSELING & GUIDANCE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Journey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770985467
- **Authorized official:** JACKIE J MAURER (BILLING OFFICE SUPERVISOR)
- **Authorized official phone:** (715) 327-4322

## Contact information

- **Practice address:** 16092 HIGHWAY 63, HAYWARD, WI 54843-9775
- **Practice address phone:** (715) 699-1241
- **Practice address fax:** (715) 699-1243
- **Mailing address:** 203 UNITED WAY, FREDERIC, WI 54837-8938
- **Mailing address phone:** (715) 327-4322
- **Mailing address fax:** (715) 327-8509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 3049 | WI | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 01/15/2015