Organization
ICHTHUS COUNSELING, LLC
Active
Other names
John R Briggs, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R BRIGGS PHD (LICENSED PSYCHOLOGIST)
(262) 478-0032
Entity
Organization
Contact information
Practice address
11124 N CEDARBURG RD, SUITE 310, MEQUON, WI 53092-4361
(262) 478-0032
(262) 478-0082
Mailing address
11124 N CEDARBURG RD, SUITE 310, MEQUON, WI 53092-4361
(262) 478-0032
(262) 478-0082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2591
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39128000
—
WI
Enumeration date
03/27/2007
Last updated
03/03/2008
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