Organization
CALUMET COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROMENESKO (COUNTY ADMINISTRATOR)
(920) 849-1448
Entity
Organization
Contact information
Practice address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Mailing address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1120
WI
101YM0800X
Mental Health Counselor
Primary
1120
WI
1041C0700X
Clinical Social Worker
1120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42137900
—
WV
05
—
43070800
—
WI
05
—
43425900
—
WI
Enumeration date
08/19/2005
Last updated
11/10/2023
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