Organization
APPLETON PSYCHIATRIC & COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA A GOSSENS MSW, LCSW (PSYCHOTHERAPIST)
(920) 882-6610
Entity
Organization
Contact information
Practice address
477 S NICOLET RD, APPLETON, WI 54914-8270
(920) 882-6610
(920) 882-6611
Mailing address
477 S NICOLET RD, APPLETON, WI 54914-8270
(920) 882-6610
(920) 882-6611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
802 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39625900
—
WI
Enumeration date
01/19/2007
Last updated
08/22/2020
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