institution
St. Croix Chippewa Indians Of Wi
Mental Health Counselor in Webster, Wisconsin
NPI 1346233350

St. Croix Chippewa Indians Of Wi is a Mental Health Counselor based in Webster, WI and is specialized in Mental Health. St. Croix Chippewa Indians Of Wi practices in Webster, WI. The NPI Number for St. Croix Chippewa Indians Of Wi is 1346233350 and holds a License No. 2217 (Wisconsin).

The current practice location address for St. Croix Chippewa Indians Of Wi is 4404 State Road 70, Webster, WI and can be reached out via phone at 877-455-1901 and via fax at 715-349-8528.

Location: 4404 State Road 70, Webster, WI, 54893-9251
institution
Provider Profile Details
NPI Number
1346233350
Provider Name
St. Croix Chippewa Indians Of Wi
Credential
Provider Entity Type
Organization
Address
4404 State Road 70, Webster, WI, 54893-9251
Phone Number
877-455-1901
Fax Number
715-349-8528
Provider Enumeration Date
08/24/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42220400 05 WI
1831170091 05 WI
institution
Provider Business Practice Location Address Details
Address
4404 State Road 70
City
State
Zip
54893-9251
Phone Number
877-455-1901
Fax Number
715-349-8528
person
Provider Business Mailing Address Details
Address
4404 State Road 70
City
State
Zip
54893-9251
Phone Number
877-455-1901
Fax Number
715-349-8528
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2217 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2217 (Wisconsin)
Definition
Definition to come...
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