Organization · Type 2 NPI
Professional Services Group, Inc.
Mental Health Counselor · Racine, WI
NPI number
1124104740
Active
Practice location
800 Goold St
Racine, WI 53402-4567
Fax (262) 638-2006
Mailing address
6233 39th Ave
Kenosha, WI 53142-7015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2657 (WI) |
| Mental Health Counselor Primary | 101YM0800X | 2657 (WI) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Racine
About NPI 1124104740
Professional Services Group, Inc.'s National Provider Identifier is 1124104740, issued on Oct 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Racine, WI. The record was last updated on Jun 30, 2008.