Wisconsin Lutheran Child & Family Service
Counselor, Professional in Appleton, WI. Organization (NPI-2).
NPI number1043661036
StatusActive
Last updated in NPPESFeb 4, 2022
Details
- NPI
- 1043661036
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisconsin Lutheran Child & Family Service
- Organization subpart
- No
- Enumeration date
- Jun 30, 2016
- Certification date
- Feb 4, 2022
- Last updated
- Feb 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Other names
- Christian Family Counseling (Doing Business As)
Practice location
5300 N Meade StAppleton, WI 54913-8383
Phone 800-438-1772 · Fax 262-293-9737
Mailing address
W175n11120 Stonewood DrAttn Linda R
Germantown, WI 53022-6511
Phone 800-438-1772 · Fax 262-293-9737
Authorized official
Mark Klug
Ceo
8886859522
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