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Mequon Clinical Associates, S.c.
Professional Counselor in Mequon, Wisconsin
NPI 1750774766

Mequon Clinical Associates, S.c. is a Professional Counselor based in Mequon, WI and is specialized in Professional. Mequon Clinical Associates, S.c. practices in Mequon, WI. The NPI Number for Mequon Clinical Associates, S.c. is 1750774766 and holds a License No. 2428-226 (Wisconsin).

The current practice location address for Mequon Clinical Associates, S.c. is 1045 W Glen Oaks Ln, Mequon, WI and can be reached out via phone at 262-241-7778.

Location: 1045 W Glen Oaks Ln, Mequon, WI, 53092-3467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750774766
Provider Name
Mequon Clinical Associates, S.c.
Credential
Provider Entity Type
Organization
Address
1045 W Glen Oaks Ln, Mequon, WI, 53092-3467
Phone Number
262-241-7778
Fax Number
Provider Enumeration Date
03/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2428-226 01 WI CREDENTIAL/LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1045 W Glen Oaks Ln
City
Mequon
State
Wisconsin
Zip
53092-3467
Phone Number
262-241-7778
Fax Number
person
Provider Business Mailing Address Details
Address
1045 W Glen Oaks Ln
City
Mequon
State
Wisconsin
Zip
53092-3467
Phone Number
262-241-7778
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2428-226 (Wisconsin)
Definition
Definition to come...
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