Organization
GREENBUSH OAKS, INC
Active
Other names
Poynette Counseling & Psychotherapy Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE A GOESER CSAC (OWNER)
(608) 635-2146
Entity
Organization
Contact information
Practice address
415 N MAIN ST STE 3, POYNETTE, WI 53955-8963
(608) 635-2146
(608) 635-7379
Mailing address
415 N MAIN ST STE 3, POYNETTE, WI 53955-8963
(608) 635-2146
(608) 635-7379
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1169-132
WI
1041C0700X
Clinical Social Worker
Primary
2017-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42149300
—
WI
Enumeration date
10/28/2008
Last updated
10/28/2008
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