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Organization

YURK COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA GRAY-SIEBERS LPC, CCATP (LICENSED PROFESSIONAL COUNSELOR OWN)
(920) 287-0406
Entity
Organization

Contact information

Practice address
W4711 CASTLE DRIVE, SHERWOOD, WI 54169-9661
(920) 287-0406
(920) 287-0410
Mailing address
W4711 CASTLE DRIVE, SHERWOOD, WI 54169-9661
(920) 287-0406
(920) 287-0410

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3000-125
WI
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/26/2015
Last updated
04/10/2024
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