Organization
FAMILY SERVICE AGENCY OF WAUKESHA COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA BUMBER (DIRECTOR OF OPERATIONS)
(262) 547-5567
Entity
Organization
Contact information
Practice address
2727 N GRANDVIEW BLVD, STE 205, STE 200, WAUKESHA, WI 53188
(262) 547-5567
(262) 547-1608
Mailing address
2727 N GRANDVIEW BLVD, STE 203, WAUKESHA, WI 53188
(262) 547-5567
(262) 547-1608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42158300
—
WI
Enumeration date
06/12/2006
Last updated
05/28/2025
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