Organization
EXODUS COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT STONER D.MIN. (EXECUTIVE DIRECTOR)
(414) 964-4357
Entity
Organization
Contact information
Practice address
5800 NORTH BAYSHORE DRIVE, SUITE B 204, GLENDALE, WI 53217
(414) 964-4357
(414) 964-4327
Mailing address
5800 NORTH BAYSHORE DR, SUITE B 204, GLENDALE, WI 53217
(414) 964-4357
(414) 964-4327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
STATE MANDATED
WI
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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