Organization
WIS. LUTHERAN CHILD & FAMILY SERVICES
Active
Other names
Christian Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL P NOMMENSEN MA, LPC, CEAP (PROGRAMS DIRECTOR)
(262) 345-5560
Entity
Organization
Contact information
Practice address
2345 N 25TH ST, MILWAUKEE, WI 53206-1003
(262) 345-5560
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(262) 345-5560
(262) 345-5562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7143-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39798400
—
WI
Enumeration date
03/01/2012
Last updated
03/01/2012
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