Organization
NORTHWEST COUNSELING & GUIDANCE CLINIC
Active
Other names
Northwest Journey-Green Bay
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE MAURER (OFFICE SUPERVISOR)
(715) 349-7069
Entity
Organization
Contact information
Practice address
123 S VAN BUREN, GREEN BAY, WI 54301-4441
(920) 336-8960
Mailing address
PO BOX 309, SIREN, WI 54872-0309
(715) 349-5801
(888) 625-8634
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3197
WI
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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