| Holstead Outpatient Psych Evaluation (hope) & Counseling Clinic | |
|
1050 Circle Dr Ste B Green Bay WI 54304-5569 | |
| (920) 393-7971 | |
| Not Available |
| Full Name | Holstead Outpatient Psych Evaluation (hope) & Counseling Clinic |
|---|---|
| Speciality | Psychologist - School |
| Location | 1050 Circle Dr Ste B, Green Bay, Wisconsin |
| Authorized Official Name and Position | Jenell Holstead (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9205442780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holstead Outpatient Psych Evaluation (hope) & Counseling Clinic 1050 Circle Dr Ste B Green Bay WI 54304-5569 Ph: () - | Holstead Outpatient Psych Evaluation (hope) & Counseling Clinic 1050 Circle Dr Ste B Green Bay WI 54304-5569 Ph: (920) 393-7971 |
| NPI Number | 1114596921 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114596921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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