Organization
COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN HEIN ED.D,LPC (DIRECTOR)
(920) 457-4090
Entity
Organization
Contact information
Practice address
601 N 5TH ST, SHEBOYGAN, WI 53081-4624
(920) 457-4090
Mailing address
PO BOX 1293, SHEBOYGAN, WI 53082-1293
(920) 254-1905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42206900
—
WI
Enumeration date
03/25/2019
Last updated
03/25/2019
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