Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC
Active
Other names
CHRISTIAN FAMILY COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KLUG (CEO)
(888) 655-9522
Entity
Organization
Contact information
Practice address
44 GOOD COUNSEL DR, MANKATO, MN 56001-6599
(800) 438-1772
(262) 345-5531
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(262) 345-5560
(262) 345-5531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/08/2019
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