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Organization

MARRIAGE & FAMILY HEALTH SERVICES, 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 (OWNER)
(715) 832-0238
Entity
Organization

Contact information

Practice address
1301 COULEE RD, HUDSON, WI 54016-2160
(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
2859
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2859
STATE OF WISCONSIN PROVISIONAL CERTIFICATE
WI
Enumeration date
04/30/2009
Last updated
04/30/2009
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