Organization · Type 2 NPI
Impact Counseling Services, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Germain, WI
NPI number
1689812422
Active
Practice location
306 State Highway 70 E
St. Germain, WI 54558-8800
Mailing address
15655 County Road B, P.o. Box 13251
Hayward, WI 54843-3251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 42221700 (WI) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1689812422
Impact Counseling Services, LLC's National Provider Identifier is 1689812422, issued on Feb 2, 2009. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Germain, WI. The record was last updated on Feb 2, 2009.