Organization
NORTHWEST COUNSELING & GUIDANCE CLINIC
Active
Parent organization
NORTHWEST COUNSELING & GUIDANCE CLINIC
Other names
Northwest Directions - DePere
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST COUNSELING & GUIDANCE CLINIC
Authorized official
JACKIE J MAURER (OFFICE SUPERVISOR)
(715) 349-7069
Entity
Organization
Contact information
Practice address
1119 W KENNEDY AVE, SUITE A, KIMBERLY, WI 54136-2213
(920) 364-9668
(888) 625-8634
Mailing address
PO BOX 309, SIREN, WI 54872-0309
(715) 349-7069
(888) 625-8634
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2924
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2924
—
WI
Enumeration date
09/24/2010
Last updated
08/15/2022
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