Organization Name: | ALLIED COUNSELING SERVICES, S.C. |
NPI Number: | 1003867813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTI C FREIBURGER (VICE PRESIDENT) |
Mailing Address: | 400 Doctors Ct Suite D Johnson Creek |
State: | WI US |
Postal Code: | 530389567 |
Phone Number: | 2627515672 |
Fax Number: | 2624952199 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |