Individual provider · Type 1 NPI
John R. Cheslock, MA, LPC-IT
Counselor · Green Bay, WI
NPI number
1821568437
Active
Practice location
626 S Irwin Ave
Green Bay, WI 54301-3304
Fax (920) 432-5966
Mailing address
PO Box 22308
Green Bay, WI 54305-2308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 4107 (WI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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About NPI 1821568437
John R. Cheslock, MA, LPC-IT's National Provider Identifier is 1821568437, issued on Nov 27, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Green Bay, WI. The record was last updated on Nov 27, 2018.