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Organization

COUNSELING AND PSYCHOLOGICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE NEWMAN LCSW (OWNER)
(715) 492-8652
Entity
Organization

Contact information

Practice address
158 S ANDERSON ST, RHINELANDER, WI 54501-3447
(715) 362-6390
Mailing address
PO BOX 745, HAYWARD, WI 54843-0745
(715) 699-1500
(715) 699-1503

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3195-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11614648
CAQH
WI
05
39616700
WI
Enumeration date
01/30/2013
Last updated
05/15/2013
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