Organization · Type 2 NPI
Child, Marriage & Family Therapy Clinic
Professional Counselor · Racine, WI
NPI number
1336264829
Active
Practice location
6939 Mariner Dr, Suite C
Racine, WI 53406-3938
Fax (262) 886-8714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1035-132 (WI) |
| Professional Counselor Primary | 101YP2500X | 369-125 (WI) |
| Professional Counselor | 101YP2500X | 947-125 (WI) |
| Professional Counselor | 101YP2500X | 521-126 (WI) |
| Professional Counselor | 101YP2500X | 1012-125 (WI) |
| Clinical Social Worker | 1041C0700X | 2254-123 (WI) |
| Clinical Social Worker | 1041C0700X | 2031-123 (WI) |
Professional Counselor: Definition to come...
3 other providers at this address
Other professional counselor providers in Racine
- Wisconsin Lutheran Child & Family Service, Inc.Professional Counselor Racine, WI NPI 1073999355
- Wirebaugh Therapy ServicesProfessional Counselor Racine, WI NPI 1437085875
- Portis Marriage and Children Counseling Clinic, LLCProfessional Counselor Racine, WI NPI 1609046788
- Tungseth Psychotherapy Clinic LLCProfessional Counselor Racine, WI NPI 1609927011
- Therapy Works LLCProfessional Counselor Racine, WI NPI 1902645690
- Ears and EmpathyProfessional Counselor Racine, WI NPI 1922967736
About NPI 1336264829
Child, Marriage & Family Therapy Clinic's National Provider Identifier is 1336264829, issued on Mar 21, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Racine, WI. The record was last updated on Jun 16, 2010.