Organization
AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY JOHNSON (CREDENTIALING MANAGER)
(715) 532-9771
Entity
Organization
Contact information
Practice address
24670 STATE ROAD 35 70, SUITE 1200, SIREN, WI 54872-4418
(715) 349-7233
(715) 349-7205
Mailing address
24670 STATE ROAD 35 70, SUITE 1200, SIREN, WI 54872-4418
(715) 349-7233
(715) 349-7205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42244500
—
WI
Enumeration date
09/22/2008
Last updated
09/22/2008
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