Organization
GREAT LAKES CLINIC AND CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DICH LCSW (CEO)
(920) 415-0505
Entity
Organization
Contact information
Practice address
1407 NORTH 8TH STREET, SUITE 203, SHEBOYGAN, WI 53081
(920) 415-0505
Mailing address
1407 NORTH 8TH STREET, SUITE 203, SHEBOYGAN, WI 53081
(920) 415-0505
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/13/2018
Last updated
04/16/2025
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