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County Of Green Lake
Professional Counselor in Green Lake, Wisconsin
NPI 1780867408

County Of Green Lake is a Professional Counselor based in Green Lake, WI and is specialized in Professional. County Of Green Lake practices in Green Lake, WI. The NPI Number for County Of Green Lake is 1780867408 and holds a License No. (Wisconsin).

The current practice location address for County Of Green Lake is 571 County Road A, Green Lake, WI and can be reached out via phone at 920-294-4070 and via fax at 920-294-4139.

Location: 571 County Road A, Green Lake, WI, 54941-8630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780867408
Provider Name
County Of Green Lake
Credential
Provider Entity Type
Organization
Address
571 County Road A, Green Lake, WI, 54941-8630
Phone Number
920-294-4070
Fax Number
920-294-4139
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42139800 05 WI
institution
Provider Business Practice Location Address Details
Address
571 County Road A
City
Green Lake
State
Wisconsin
Zip
54941
Phone Number
920-294-4070
Fax Number
920-294-4139
person
Provider Business Mailing Address Details
Address
571 County Road A
City
Green Lake
State
Wisconsin
Zip
54941
Phone Number
920-294-4070
Fax Number
920-294-4139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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