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Organization
WISCONSIN COMMUNITY MENTAL HEALTH COUNSELING CENTERS INC
Active
Organization
WISCONSIN COMMUNITY MENTAL HEALTH COUNSELING CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A KANE III LCSW LPC CADC MAC RC (CLINICAL DIRECTOR OWNER)
(262) 242-3810
Entity
Organization
Contact information
Practice address
10532 N PORT WASHINGTON RD, SUITE 1 B, MEQUON, WI 53092
(262) 242-3810
Mailing address
10532 N PORT WASHINGTON RD, SUITE 1B, MEQUON, WI 53092-5563
(262) 242-3810
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
04/14/2010
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