Organization · Type 2 NPI

Professional Services Group, Inc.

Mental Health Counselor · West Allis, WI

NPI number 1396821005 Active

Practice location

1126 S 70th St, Suite S507
West Allis, WI 53214-3151

Fax (414) 476-8695

Mailing address

6233 39th Ave
Kenosha, WI 53142-7015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X2365 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1396821005

Professional Services Group, Inc.'s National Provider Identifier is 1396821005, issued on Oct 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Allis, WI. The record was last updated on Jun 30, 2008.