Organization
COOPERATIVE EDUCATIONAL SERVICE AGENCY NO 8
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J VIEGUT PHD (AGENCY ADMINISTRATOR)
(920) 855-2114
Entity
Organization
Contact information
Practice address
223 W PARK STREET, GILLETT, WI 54124
(920) 855-2114
(920) 855-2299
Mailing address
223 W PARK STREET, GILLETT, WI 54124
(920) 855-2114
(920) 855-2299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3675-125
WI
101YP2500X
Professional Counselor
3840-125
WI
103TC1900X
Counseling Psychologist
970-57
WI
251300000X
Local Education Agency (LEA)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44200600
—
WI
Enumeration date
11/19/2007
Last updated
01/25/2016
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