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Northwest Counseling & Guidance Clinic
Adolescent and Children Mental Health Clinic/Center in Kimberly, Wisconsin
NPI 1225155393

Northwest Counseling & Guidance Clinic is an Adolescent and Children Mental Health Clinic/Center based in Siren, WI and is specialized in Adolescent and Children Mental Health. Northwest Counseling & Guidance Clinic practices in Kimberly, WI. The NPI Number for Northwest Counseling & Guidance Clinic is 1225155393 and holds a License No. 2160 (Wisconsin).

The current practice location address for Northwest Counseling & Guidance Clinic is 1119 W Kennedy Ave, Kimberly, WI and can be reached out via phone at 920-364-9668 and via fax at 888-625-8634.

Location: 1119 W Kennedy Ave, Kimberly, WI, 54872-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225155393
Provider Name
Northwest Counseling & Guidance Clinic
Credential
Provider Entity Type
Organization
Address
1119 W Kennedy Ave, Kimberly, WI, 54872-0309
Phone Number
920-364-9668
Fax Number
888-625-8634
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43005000 05 WI
42626 01 MN HEALTH PARTNERS
85575 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
1119 W Kennedy Ave
City
Kimberly
State
Wisconsin
Zip
54136-2213
Phone Number
920-364-9668
Fax Number
888-625-8634
person
Provider Business Mailing Address Details
Address
1119 W Kennedy Ave
City
Kimberly
State
Wisconsin
Zip
54136-2213
Phone Number
920-364-9668
Fax Number
888-625-8634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2160 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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