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Organization

NORTHWEST JOURNEY - WAUPACA COUNTY

Active
Parent organization
NORTHWEST COUNSELING AND GUIDANCE CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHWEST COUNSELING AND GUIDANCE CLINIC
Authorized official
NICK KALAMBOKISIS (CFO)
(715) 327-4322
Entity
Organization

Contact information

Practice address
310 E MAIN ST, WEYAUWEGA, WI 54983-8938
(715) 867-4744
(920) 867-4213
Mailing address
310 E MAIN ST, WEYAUWEGA, WI 54983-8938
(715) 867-4744
(920) 867-4213

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2922
WI

Other

Enumeration date
10/01/2010
Last updated
10/01/2010
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