Organization Name: | ALLEMAGNE COUNSELING & CONSULTATION SERVICES, |
NPI Number: | 1033440227 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN L ALLEMAGNE (OWNER) |
Mailing Address: | 2916 Marketplace Drive Suite # 212 Fitchburg |
State: | WI US |
Postal Code: | 537195327 |
Phone Number: | 6083259500 |
Fax Number: | 8883456310 |
NPI Enumeration Date: | 01/27/2010 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 166000551 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |