Organization
MARRIAGE & FAMILY HEALTH SERVICE, LTD
Active
Parent organization
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Authorized official
DR. THOMAS E JOHNSTON PHD (DIRECTOR/OWNER)
(715) 832-0238
Entity
Organization
Contact information
Practice address
1107 HEART ISLAND PKWY, RICE LAKE, WI 54868-3900
(715) 832-0238
(715) 832-0771
Mailing address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223799
MHN/TRICARE INS. CO.
WI
05
—
43171526
—
WI
Enumeration date
05/02/2008
Last updated
05/02/2008
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