Organization
IN FOCUS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MATHEW LODL PH.D. (CLINIC MANAGER)
(262) 241-8901
Entity
Organization
Contact information
Practice address
11501 N PORT WASHINGTON RD, SUITE 210, MEQUON, WI 53092-3466
(262) 241-8901
(262) 241-8907
Mailing address
11501 N PORT WASHINGTON RD, SUITE 210, MEQUON, WI 53092-3466
(262) 241-8901
(262) 241-8907
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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