Organization
FAMILY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ZIEMER NERVIG LCSW (OWNER)
(414) 258-5523
Entity
Organization
Contact information
Practice address
8112 W BLUEMOUND RD, SUITE 106, WAUWATOSA, WI 53213-3356
(414) 258-5523
(414) 431-1071
Mailing address
8112 W BLUEMOUND RD, SUITE 106, WAUWATOSA, WI 53213-3356
(414) 258-5523
(414) 431-1071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
475-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42193700
—
WI
Enumeration date
09/09/2008
Last updated
09/09/2008
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