Organization
CHILD & FAMILY THERAPEUTIC SYSTEMS S.C.
Active
Other names
Child & Family Therapeutic Systems
Organization subpart
No
Provider details
NPI number
Authorized official
CARYN BUB-STANDAL (PRESIDENT)
(414) 325-7741
Entity
Organization
Contact information
Practice address
4811 S 76TH ST, SUITE 401, GREENFIELD, WI 53220-4364
(414) 325-7741
(414) 325-7753
Mailing address
4811 S 76TH ST STE 305, GREENFIELD, WI 53220-4364
(414) 325-7741
(414) 325-7753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12701
WI
103TC0700X
Clinical Psychologist
594-057
WI
1041C0700X
Clinical Social Worker
2154-123
WI
1041C0700X
Clinical Social Worker
Primary
2532-123
WI
1041C0700X
Clinical Social Worker
2792-123
WI
106H00000X
Marriage & Family Therapist
186-124
WI
106H00000X
Marriage & Family Therapist
471-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42201100
—
WI
Enumeration date
12/01/2006
Last updated
09/26/2022
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