Organization
CEDAR CREEK FAMILY COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BUCKLEY F MEADE CADC III (OWNER PROGRAM DIRECTOR)
(414) 427-4884
Entity
Organization
Contact information
Practice address
9910 W. LAYTON AVE, SUITE 2, GREENFIELD, WI 53228
(414) 427-4884
(414) 427-4889
Mailing address
9910 W. LAYTON AVE., SUITE 2, GREENFIELD, WI 53228
(414) 427-4884
(414) 427-4889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42188500
—
WI
Enumeration date
06/03/2006
Last updated
06/27/2014
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