| Family Achievement Clinic S C | |
|
24 S Main St Oconomowoc WI 53066-5226 | |
| (262) 567-4560 | |
| (262) 567-4870 |
| Full Name | Family Achievement Clinic S C |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24 S Main St, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Michael M Cornale (DIRECTOR) |
| Authorized Official Contact | 2625674560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Achievement Clinic S C 24 S Main St Oconomowoc WI 53066-5226 Ph: (262) 567-4560 | Family Achievement Clinic S C 24 S Main St Oconomowoc WI 53066-5226 Ph: (262) 567-4560 |
| NPI Number | 1790958106 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790958106 | NPI | - | NPPES |
| 42124500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1313 (Wisconsin) | Primary |
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› Verified 1 days ago
Mark H Rossing Mdsc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl, Suite 211, Oconomowoc, WI 53066 Phone: 262-567-1122 Fax: 262-567-1481 | |
Joanne Berthelsen Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 830 Armour Rd Ste 2, Oconomowoc, WI 53066 Phone: 262-235-2350 Fax: 235-804-8132 | |
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