Cloverleaf Counseling, Llc | |
3019 W Spencer St #202 Appleton WI 54914-5945 | |
(920) 843-0091 | |
(855) 849-3178 |
Full Name | Cloverleaf Counseling, Llc |
---|---|
Speciality | Clinic/center |
Location | 3019 W Spencer St, Appleton, Wisconsin |
Authorized Official Name and Position | Thomas John Zakrzewski (OWNER) |
Authorized Official Contact | 9208430091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cloverleaf Counseling, Llc 3019 W Spencer St #202 Appleton WI 54914-5945 Ph: (920) 843-0091 | Cloverleaf Counseling, Llc 3019 W Spencer St #202 Appleton WI 54914-5945 Ph: (920) 843-0091 |
NPI Number | 1962938381 |
---|---|
Provider Enumeration Date | 05/04/2017 |
Last Update Date | 05/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962938381 | NPI | - | NPPES |
7452-123 | Other | WI | STATE LICENSE WISCONSIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 7452-123 (Wisconsin) | Primary |
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