Organization
SHOREVIEW COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT L JACKSON (CEO)
(414) 301-1163
Entity
Organization
Contact information
Practice address
4950 N 21ST ST, LOWER LEVEL, MILWAUKEE, WI 53209-5750
(414) 301-1163
Mailing address
4950 N 21ST ST, LOWER LEVEL, MILWAUKEE, WI 53209-5750
(414) 301-1163
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WI
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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