Organization
CHILDREN'S SERVICE SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY WALCZAK (DIRECTOR MBH INTEGRATION)
(414) 337-6807
Entity
Organization
Contact information
Practice address
705 S 24TH AVE, STE 400, WAUSAU, WI 54401-5242
(715) 848-1457
(715) 848-2959
Mailing address
705 S 24TH AVE, STE 400, WAUSAU, WI 54401-5242
(715) 848-1457
(715) 848-2959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497884597
—
WI
05
—
42129800
—
WI
Enumeration date
03/05/2007
Last updated
08/12/2025
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