Delta Center Of Wisconsin | |
196 3rd St Fond Du Lac WI 54935-4418 | |
(920) 733-2065 | |
Not Available |
Full Name | Delta Center Of Wisconsin |
---|---|
Speciality | Psychologist - Counseling |
Location | 196 3rd St, Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Leslie Johnson (CEO) |
Authorized Official Contact | 7045066267 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Delta Center Of Wisconsin 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (704) 506-6267 | Delta Center Of Wisconsin 196 3rd St Fond Du Lac WI 54935-4418 Ph: (920) 733-2065 |
NPI Number | 1104688365 |
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Provider Enumeration Date | 01/24/2024 |
Last Update Date | 04/24/2024 |
Certification Date | 04/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104688365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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Fond Du Lac County Department Of Community Programs Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
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Lakeside Neurocare Limited. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-923-5526 Fax: 920-923-5871 | |
Fond Du Lac County Dcp Acute Unit Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 |