Organization
CEDAR LAKE COUNSELING, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLVITA BORG RN (MANAGER/ADMIN)
(262) 244-6178
Entity
Organization
Contact information
Practice address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 244-6178
(262) 299-3040
Mailing address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 244-6178
(262) 299-3040
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
10/11/2018
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