Organization
CLOVERLEAF COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHN ZAKRZEWSKI MSW, LCSW (OWNER)
(920) 843-0091
Entity
Organization
Contact information
Practice address
3019 W SPENCER ST, #202, APPLETON, WI 54914-5945
(920) 843-0091
(855) 849-3178
Mailing address
3019 W SPENCER ST, #202, APPLETON, WI 54914-5945
(920) 843-0091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7452-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7452-123
STATE LICENSE WISCONSIN
WI
Enumeration date
05/04/2017
Last updated
05/04/2017
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