Organization
LAKES AREA COUNSELING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL W BISHOP PSY.D (OWNER)
(262) 374-3444
Entity
Organization
Contact information
Practice address
W4226 W END RD, LAKE GENEVA, WI 53147-3485
(262) 374-3444
Mailing address
W4226 W END RD, LAKE GENEVA, WI 53147-3485
(262) 374-3444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4047-125
WI
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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