Organization
MARK JUERGENS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JUERGENS LCSW, LPC (OWNER)
(715) 833-2121
Entity
Organization
Contact information
Practice address
4330 GOLF TERRACE, SUITE 214, EAU CLAIRE, WI 54701
(715) 833-2121
(715) 833-2131
Mailing address
4330 GOLF TERRACE, SUITE 214, EAU CLAIRE, WI 54701
(715) 833-2121
(715) 833-2131
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
3265123
WI
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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