Organization
PSYCHOTHERAPY CENTER OF WAUNAKEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RAYMOND WEISS MA, MS, LMFT (MEMBER)
(608) 712-9362
Entity
Organization
Contact information
Practice address
251 PROGRESS WAY STE 102, WAUNAKEE, WI 53597-2520
(608) 712-9362
Mailing address
928 LEXINGTON WAY, WAUNAKEE, WI 53597-2104
(608) 712-9362
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316440910
—
WI
05
—
1922512334
—
WI
Enumeration date
02/21/2020
Last updated
03/03/2026
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