Organization
CHILDREN'S BEHAVIORAL HEALTH SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA AILENE BRUNER-LEYDENS MS.ED (PARTNER/LICENSED PROFESSIONAL COUNS)
(262) 657-5026
Entity
Organization
Contact information
Practice address
6021 56TH AVE, SUITE 4, KENOSHA, WI 53142-3087
(262) 657-5026
(262) 657-5663
Mailing address
6021 56TH AVE STE 4, KENOSHA, WI 53142-3087
(262) 657-5026
(262) 657-5663
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
3146-125
WI
251S00000X
Community/Behavioral Health Agency
Primary
8137-125
WI
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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