Integrated Counseling Center Llc | |
N6687 Wrightway Dr Ste D Fond Du Lac WI 54937-8433 | |
(920) 929-9140 | |
(920) 929-9142 |
Full Name | Integrated Counseling Center Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | N6687 Wrightway Dr Ste D, Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Rosonna Sue Comers (OWNER) |
Authorized Official Contact | 9209299140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrated Counseling Center Llc N6687 Wrightway Dr Ste D Fond Du Lac WI 54937-8433 Ph: (920) 929-9140 | Integrated Counseling Center Llc N6687 Wrightway Dr Ste D Fond Du Lac WI 54937-8433 Ph: (920) 929-9140 |
NPI Number | 1104053701 |
---|---|
Provider Enumeration Date | 06/22/2009 |
Last Update Date | 06/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104053701 | NPI | - | NPPES |
422-43800 | Medicaid | WI |
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