Organization
CLINIC FOR CHRISTIAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY JEAN STEIN LPC (OWNER)
(715) 832-1678
Entity
Organization
Contact information
Practice address
3410 OAKWOOD MALL DR STE 700, EAU CLAIRE, WI 54701-2617
(715) 832-1678
(715) 832-6680
Mailing address
3410 OAKWOOD MALL DR STE 700, EAU CLAIRE, WI 54701-2617
(715) 832-1678
(715) 832-6580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
686-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39285200
—
WI
Enumeration date
01/03/2007
Last updated
01/04/2021
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