Organization
PSYCHIATRIC ASSOCIATES COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE C NOTH (CLINIC DIRECTOR)
(608) 637-2511
Entity
Organization
Contact information
Practice address
122 W SOUTH ST, VIROQUA, WI 54665-0206
(608) 637-2511
(608) 637-7921
Mailing address
PO BOX 206, 122 W SOUTH ST, VIROQUA, WI 54665-0206
(608) 637-2511
(608) 637-7921
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1754
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42167000
—
WI
Enumeration date
01/18/2007
Last updated
08/22/2020
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