Organization
CREATIVE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFF JOSEPH KUSTER MS, LPC (MENTAL HEALTH THERAPIST)
(715) 456-1741
Entity
Organization
Contact information
Practice address
13835 39TH AVE, CHIPPEWA FALLS, WI 54729-5028
(715) 456-1741
Mailing address
13835 39TH AVE, CHIPPEWA FALLS, WI 54729-5028
(715) 456-1741
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
3241
WI
251S00000X
Community/Behavioral Health Agency
Primary
3241
WI
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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