Organization · NPI-2

Cloverleaf Counseling, LLC

Clinic/Center · Appleton, WI

NPI number1962938381
StatusActive
Last updated in NPPESMay 4, 2017

Details

NPI
1962938381
Entity type
Organization (NPI-2)
Legal business name
Cloverleaf Counseling, LLC
Organization subpart
No
Enumeration date
May 4, 2017
Last updated
May 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center7452-123WIYes

Practice location

3019 W Spencer St
#202
Appleton, WI 54914-5945

Phone 920-843-0091 · Fax 855-849-3178

Mailing address

3019 W Spencer St
#202
Appleton, WI 54914-5945

Phone 920-843-0091

Authorized official

Thomas John Zakrzewski
Owner
9208430091

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