Organization
CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.
Active
Parent organization
CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.
Authorized official
MR. RICHARD SAGE MA (EXECUTIVE DIRECTOR)
(608) 782-0710
Entity
Organization
Contact information
Practice address
401 5TH ST STE 235, WAUSAU, WI 54403-5468
(715) 849-3311
(715) 849-8414
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
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558393009
—
WI
Enumeration date
01/14/2009
Last updated
01/14/2009
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