Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC
Active
Other names
Christian Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M RANGEL (INSURANCE PROVIDER COORDINATOR)
(262) 345-5533
Entity
Organization
Contact information
Practice address
3601 N PORT WASHINGTON RD, MILWAUKEE, WI 53212-4129
(262) 345-5560
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(262) 345-5560
(262) 345-5562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12699-131
WI
101YP2500X
Professional Counselor
2282-125
WI
101YP2500X
Professional Counselor
4123-125
WI
101YP2500X
Professional Counselor
Primary
4538-125
WI
103TC1900X
Counseling Psychologist
2163-57
WI
1041C0700X
Clinical Social Worker
1967-123
WI
1041C0700X
Clinical Social Worker
6155-123
WI
1041C0700X
Clinical Social Worker
7143-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42223600
—
WI
Enumeration date
02/14/2011
Last updated
02/14/2012
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