Organization · Type 2 NPI

Northeast Wisconsin Behavioral Health SC

Mental Health Counselor · Green Bay, WI

NPI number 1275733602 Active

Practice location

529 South Jefferson Street, Suite 202
Green Bay, WI 54301-4125

Call (920) 884-2175 Map

Fax (920) 884-6735

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X4044-123 (WI)
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500X2376 125 (WI)
Clinical Social Worker 1041C0700X4044 123 (WI)
Marriage & Family Therapist 106H00000X489 124 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1275733602

Northeast Wisconsin Behavioral Health SC's National Provider Identifier is 1275733602, issued on Jul 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green Bay, WI. The record was last updated on Oct 16, 2023.