Organization
NORTHWEST COUNSELING & GUIDANCE CLINIC
Active
Other names
Northwest Journey
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE J MAURER (BILLING OFFICE SUPERVISOR)
(715) 327-4322
Entity
Organization
Contact information
Practice address
16092 HIGHWAY 63, HAYWARD, WI 54843-9775
(715) 699-1241
(715) 699-1243
Mailing address
203 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4322
(715) 327-8509
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3049
WI
Other
Enumeration date
09/24/2014
Last updated
01/15/2015
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