Freedom Counseling | |
2141 Altoona Ave Suite C Eau Claire WI 54701-3429 | |
(715) 552-7350 | |
Not Available |
Full Name | Freedom Counseling |
---|---|
Speciality | Psychologist - Clinical |
Location | 2141 Altoona Ave, Eau Claire, Wisconsin |
Authorized Official Name and Position | Michael Lace (PSYCHOLOGIST) |
Authorized Official Contact | 7158388898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Freedom Counseling Po Box 1426 Eau Claire WI 54702-1426 Ph: (715) 552-7350 | Freedom Counseling 2141 Altoona Ave Suite C Eau Claire WI 54701-3429 Ph: (715) 552-7350 |
NPI Number | 1104026665 |
---|---|
Provider Enumeration Date | 07/23/2007 |
Last Update Date | 07/23/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104026665 | NPI | - | NPPES |
39365600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 33333 (Wisconsin) | Primary |
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