Organization
STOUGHTON FAMILY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W DRUCKENBROD LCSW (CLINICAL DIRECTOR)
(608) 873-1844
Entity
Organization
Contact information
Practice address
1520 VERNON ST, STOUGHTON, WI 53589-2260
(608) 873-6422
Mailing address
1520 VERNON ST, STOUGHTON, WI 53589-2260
(608) 873-6422
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1883
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42111800
—
WI
Enumeration date
01/18/2007
Last updated
06/27/2013
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