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Portis Marriage And Children Counseling Clinic, Llc
Professional Counselor in Racine, Wisconsin
NPI 1609046788

Portis Marriage And Children Counseling Clinic, Llc is a Professional Counselor based in Racine, WI and is specialized in Professional. Portis Marriage And Children Counseling Clinic, Llc practices in Racine, WI. The NPI Number for Portis Marriage And Children Counseling Clinic, Llc is 1609046788 and holds a License No. 947-125 (Wisconsin).

The current practice location address for Portis Marriage And Children Counseling Clinic, Llc is 5801 Washington Ave Ste 103, Racine, WI and can be reached out via phone at 262-884-9734 and via fax at 262-884-9735.

Location: 5801 Washington Ave Ste 103, Racine, WI, 53406-4057
institution
Provider Profile Details
NPI Number
1609046788
Provider Name
Portis Marriage And Children Counseling Clinic, Llc
Credential
Provider Entity Type
Organization
Address
5801 Washington Ave Ste 103, Racine, WI, 53406-4057
Phone Number
262-884-9734
Fax Number
262-884-9735
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39228200 05 WI
institution
Provider Business Practice Location Address Details
Address
5801 Washington Ave Ste 103
City
State
Zip
53406-4057
Phone Number
262-884-9734
Fax Number
262-884-9735
person
Provider Business Mailing Address Details
Address
5801 Washington Ave Ste 103
City
State
Zip
53406-4057
Phone Number
262-884-9734
Fax Number
262-884-9735
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
947-125 (Wisconsin)
Definition
Definition to come...
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