Organization
MB COUNSELING CENTER OF WEST BEND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE BINGEN LCSW (DIRECTOR/PSYCHOTHERAPIST)
(262) 388-7323
Entity
Organization
Contact information
Practice address
305 N 7TH AVE, WEST BEND, WI 53095-3268
(262) 388-7323
Mailing address
6451 WILDLIFE DR, ALLENTON, WI 53002-9525
(262) 388-7323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
646-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39793000
—
WI
Enumeration date
03/24/2017
Last updated
03/24/2017
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