Organization
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON PUPP PHD (DIRECTOR OF COUNSELING)
(414) 231-4808
Entity
Organization
Contact information
Practice address
223 WISCONSIN AVE, SUITE D, WAUKESHA, WI 53186-4968
(262) 544-5333
(262) 544-5393
Mailing address
223 WISCONSIN AVE, SUITE D, WAUKESHA, WI 53186-4968
(262) 544-5333
(262) 544-5393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42224100
—
WI
Enumeration date
04/17/2008
Last updated
04/17/2008
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