Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE INC
Active
Other names
Christian Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M RANGEL (INSURANCE PROVIDER COORDINATOR)
(262) 345-5533
Entity
Organization
Contact information
Practice address
757 S MAIN ST, SUITE 8, FOND DU LAC, WI 54935-5739
(920) 731-9798
(920) 731-1097
Mailing address
1049 N LYNNDALE DR, SUITE 1B, APPLETON, WI 54914-3050
(920) 731-9798
(920) 731-1097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42171800
—
WI
Enumeration date
11/07/2006
Last updated
02/01/2012
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