Organization
WISCONSIN COMMUNITY MENTAL HEALTH COUNSELING CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A KANE III MSED (OWNER)
(262) 242-3810
Entity
Organization
Contact information
Practice address
10532 N PORT WASHINGTON RD, SUITE 1B, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Mailing address
10532 N PORT WASHINGTON RD, SUITE 1B, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1991
WI
Other
Enumeration date
11/02/2006
Last updated
02/14/2013
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