Organization
GREAT LAKES MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIAN VRANIAK PHD (LICENSED PSYCHOLOGIST)
(715) 790-2100
Entity
Organization
Contact information
Practice address
15910 W COMPANY LAKE RD, HAYWARD, WI 54843-5320
(715) 790-2100
Mailing address
W3177 HAMILTON RD, SPRINGBROOK, WI 54875-9314
(715) 790-2100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4339125
WI
103T00000X
Psychologist
Primary
885
WI
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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