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Organization

BAETEN COUNSELING & CONSULTATION TEAM, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA MARIE BAETEN LCSW, CSAC,ICS (OWNER/CLINICAL DIRECTOR)
(920) 217-3313
Entity
Organization

Contact information

Practice address
2920 S WEBSTER AVE, GREEN BAY, WI 54301-1594
(920) 217-3313
Mailing address
2920 S WEBSTER AVE, GREEN BAY, WI 54301-1594
(920) 217-3313
(920) 217-3313

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
15372-135
WI
251S00000X
Community/Behavioral Health Agency
2075-132
WI
251S00000X
Community/Behavioral Health Agency
Primary
7709-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
844160017
WI
Enumeration date
06/08/2014
Last updated
06/08/2014
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