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Organization

ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUDITH A POLLARD MSW LCSW (CLINIC DIRECTOR)
(920) 907-0097
Entity
Organization

Contact information

Practice address
551 W JOHNSON ST, FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109
Mailing address
551 W JOHNSON ST, FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2060
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42209700
WI
Enumeration date
12/04/2006
Last updated
11/29/2010
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