Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Active
Other names
LSS Janesville Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TARA TREGLOWNE (COO)
(414) 246-2300
Entity
Organization
Contact information
Practice address
612 N RANDALL AVE, SUITE A, JANESVILLE, WI 53545-1958
(608) 752-7660
Mailing address
1904 WINNEBAGO ST FL 2, MADISON, WI 53704-5315
(608) 234-2074
(608) 270-6651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
01/06/2025
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