Organization · Type 2 NPI
Exodus Counseling Center, Inc.
Mental Health Counselor · Glendale, WI
NPI number
1871713628
Active
Practice location
5800 North Bayshore Drive, Suite B 204
Glendale, WI 53217
Fax (414) 964-4327
Mailing address
5800 North Bayshore Dr, Suite B 204
Glendale, WI 53217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | STATE MANDATED (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1871713628
Exodus Counseling Center, Inc.'s National Provider Identifier is 1871713628, issued on Apr 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, WI. The record was last updated on Aug 22, 2020.