Glen Haven Counseling Clinic | |
6270 N Port Washington Rd Suite 201 Glendale WI 53217-4311 | |
(414) 962-2284 | |
Not Available |
Full Name | Glen Haven Counseling Clinic |
---|---|
Speciality | Community/behavioral Health |
Location | 6270 N Port Washington Rd, Glendale, Wisconsin |
Authorized Official Name and Position | Jerrold Bernard Rousseau (OWNER) |
Authorized Official Contact | 4149622284 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glen Haven Counseling Clinic 6270 N Port Washington Rd Suite 201 Glendale WI 53217-4311 Ph: (414) 962-2284 | Glen Haven Counseling Clinic 6270 N Port Washington Rd Suite 201 Glendale WI 53217-4311 Ph: (414) 962-2284 |
NPI Number | 1285844480 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285844480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1384 (Wisconsin) | Primary |
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