Organization
RESPECT COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLU A KALLIES M.A, M.F.T. (MARRIAGE AND FAMILY THERAPIST)
(920) 230-2207
Entity
Organization
Contact information
Practice address
302 STATE ST, SUITE B, OSHKOSH, WI 54901-4847
(920) 230-2207
(920) 230-2208
Mailing address
302 STATE ST, SUITE B, OSHKOSH, WI 54901-4847
(920) 230-2207
(920) 230-2208
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
803-124
WI
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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