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Organization

ST. CROIX TRIBAL COUNCIL

Active
Parent organization
ST. CROIX TRIBAL COUNCIL
Other names
St. Croix Tribal Behavioral Health Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. CROIX TRIBAL COUNCIL
Authorized official
AMBER HEINZ (HEALTH DIRECTOR)
(715) 349-8554
Entity
Organization

Contact information

Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(877) 455-1901
(715) 349-8528
Mailing address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(877) 455-1901
(715) 349-8528

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2217
WI
101YM0800X
Mental Health Counselor
2217
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831170091
WI
05
42220400
WI
Enumeration date
08/24/2005
Last updated
05/01/2025
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