Organization
CCP CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN GEITNER MSW, LCSW (CO-OWNER)
(651) 491-1346
Entity
Organization
Contact information
Practice address
3301 PACKERLAND DR STE B, DE PERE, WI 54115-9533
(920) 234-9240
Mailing address
3301 PACKERLAND DR STE B, DE PERE, WI 54115-9533
(651) 491-1346
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/18/2023
Last updated
04/03/2025
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