Organization
FAMILY RESOURCES ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI L KUEFFER BA (BUSINESS MANAGER)
(920) 261-4100
Entity
Organization
Contact information
Practice address
1315 W MAIN ST, WATERTOWN, WI 53094-3564
(920) 261-4100
(920) 261-8801
Mailing address
PO BOX 364, WATERTOWN, WI 53094-0364
(920) 261-4100
(920) 261-8801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215861
MHN
WI
01
—
28146151
WAUSAU BENEFITS
WI
01
—
326643
VALUE OPTIONS
WI
05
—
42177600
—
WI
01
—
546292
DEAN HEALTH INS
WI
01
—
68376
WPPN MULTIPLAN
WI
Enumeration date
08/16/2006
Last updated
08/29/2016
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