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Organization

MARRIAGE & FAMILY HEALTH SERVICES, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS E. JOHNSTON PHD, PSYCHOLOGIST (DIRECTOR)
(715) 832-0238
Entity
Organization

Contact information

Practice address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Mailing address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
WI
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
WI
106H00000X
Marriage & Family Therapist
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31584
SECURITY HEALTH PLAN
WI
05
42121000
WI
05
43001900
WI
05
43006300
WI
05
43006400
WI
05
43007100
WI
05
43008700
WI
01
48412
SECURITY HEALTH PLAN
WI
01
80785
SECURITY HEALTH PLAN
WI
Enumeration date
09/28/2007
Last updated
08/09/2024
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