Professional Services Group, Inc. | |
220 Washington Avenue Oshkosh WI 54903 | |
(920) 237-6990 | |
(920) 424-7521 |
Full Name | Professional Services Group, Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 220 Washington Avenue, Oshkosh, Wisconsin |
Authorized Official Name and Position | Brian A Wolf (CLINICAL DIRECTOR) |
Authorized Official Contact | 4147272789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Professional Services Group, Inc. 1126 S. 70th Street Suite S-507 West Allis WI 53214-3151 Ph: (414) 727-2789 | Professional Services Group, Inc. 220 Washington Avenue Oshkosh WI 54903 Ph: (920) 237-6990 |
NPI Number | 1598080525 |
---|---|
Provider Enumeration Date | 04/01/2010 |
Last Update Date | 05/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598080525 | NPI | - | NPPES |
000084462 | Other | WI | MEDICARE ID - TYPE UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1749 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 1749 (Wisconsin) | Primary |
News Archive
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