| Organization Name: | STILLWATER COUNSELING CENTER |
| NPI Number: | 1053474510 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HELEN M PONEC (CO DIRECTOR PSYCHOTHERAPIST) |
| Mailing Address: | 933 N Mayfair Rd Suite 303 Wauwatosa |
| State: | WI US |
| Postal Code: | 532263432 |
| Phone Number: | 4144569929 |
| Fax Number: | 4144569994 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 12/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | 1881 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |