Organization
CATHOLIC CHARITIES OF THE DIOCESE OF LACROSSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SAGE M.A. (DEACON, EXECUTIVE DIRECTOR)
(608) 782-0710
Entity
Organization
Contact information
Practice address
3710 EAST AVE S, LA CROSSE, WI 54602-0266
(608) 782-0710
(608) 782-0702
Mailing address
PO BOX 1127, SHEBOYGAN, WI 53082-1127
(920) 457-6750
(920) 457-8350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42215500
—
WI
Enumeration date
07/07/2006
Last updated
04/20/2008
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