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Organization

LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHUCK MESECK PSYD (CEO)
(414) 536-8333
Entity
Organization

Contact information

Practice address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2200
(414) 536-8333
(414) 536-8348
Mailing address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2200
(414) 536-8333
(414) 536-8348

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42133600
WI
Enumeration date
11/02/2006
Last updated
07/16/2021
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