Minerva Counseling Center | |
493 S Main St Fond Du Lac WI 54935-5736 | |
(715) 579-6205 | |
Not Available |
Full Name | Minerva Counseling Center |
---|---|
Speciality | Community/behavioral Health |
Location | 493 S Main St, Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Amanda Hering (PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7155796205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minerva Counseling Center 493 South Main Street Fond Du Lac WI 54935 Ph: (715) 579-6205 | Minerva Counseling Center 493 S Main St Fond Du Lac WI 54935-5736 Ph: (715) 579-6205 |
NPI Number | 1548603657 |
---|---|
Provider Enumeration Date | 04/09/2013 |
Last Update Date | 04/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548603657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1612-226 (Wisconsin) | Primary |
251S00000X | Community/behavioral Health | 3883-125 (Wisconsin) | Secondary |
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