Organization
CAMBRIDGE COUNSELING CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH C SULLIVAN LCSW (CLINIC DIRECTOR)
(608) 423-4700
Entity
Organization
Contact information
Practice address
120 EAST MAIN ST, CAMBRIDGE, WI 53523-0548
(608) 423-4700
(608) 423-7751
Mailing address
PO BOX 548, CAMBRIDGE, WI 53523-0548
(608) 423-4700
(608) 423-7751
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1122
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42142900
—
WI
Enumeration date
10/25/2006
Last updated
11/04/2009
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