Organization
AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JOHNSON (CREDENTIALING MANAGER)
(715) 532-9771
Entity
Organization
Contact information
Practice address
N4851 HIGHWAY 63, SPOONER, WI 54801-8675
(715) 635-4858
(715) 635-4861
Mailing address
N4851 HIGHWAY 63, SPOONER, WI 54801-8675
(715) 635-4858
(715) 635-4861
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2631
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42244400
—
WI
Enumeration date
09/17/2008
Last updated
09/17/2008
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