Organization
LIBERTY COUNSELING
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE LOUISE GROVES (LMFT)
(920) 290-0107
Entity
Organization
Contact information
Practice address
141 W HURON ST, BERLIN, WI 54923-1587
(920) 290-0107
Mailing address
141 W HURON ST, BERLIN, WI 54923-1587
(920) 290-0107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
652-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42244600
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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