| Affiliated Counseling Center, Llc | |
|
108 N Lincoln Ave Beaver Dam WI 53916-2110 | |
| (920) 887-8751 | |
| (920) 887-3977 |
| Full Name | Affiliated Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 N Lincoln Ave, Beaver Dam, Wisconsin |
| Authorized Official Name and Position | Daniel J. Massie (PAYROLL) |
| Authorized Official Contact | 9208878751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Counseling Center, Llc 108 N Lincoln Ave Beaver Dam WI 53916-2110 Ph: (920) 887-8751 | Affiliated Counseling Center, Llc 108 N Lincoln Ave Beaver Dam WI 53916-2110 Ph: (920) 887-8751 |
| NPI Number | 1215321633 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215321633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1630-57 (Wisconsin) | Primary |
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