Organization
CREDENCE THERAPY ASSOCIATES INC
Active
Other names
Credence Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM ANN STEEN LCSW (DIRECTOR)
(262) 723-3424
Entity
Organization
Contact information
Practice address
1 1/2 W GENEVA ST, ELKHORN, WI 53121-1722
(262) 723-3424
(262) 723-8308
Mailing address
1 1/2 W GENEVA ST, ELKHORN, WI 53121-1722
(262) 723-3424
(262) 723-8308
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1262
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17257700
MAGELLAN BEH HEALTH
—
01
—
42168400
CENPATICO
—
05
—
42168400
—
WI
01
—
42169400
HIRSP
WI
01
—
538578
DEAN CARE
WI
Enumeration date
09/02/2005
Last updated
12/29/2014
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