| Organization Name: | COUNSELING & DEVELOPMENT CENTER |
| NPI Number: | 1760524854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE SEIDL (FINANCIAL MANAGER) |
| Mailing Address: | 171 Chestnut St Phillips |
| State: | WI US |
| Postal Code: | 545551313 |
| Phone Number: | 7153393048 |
| Fax Number: | 7153392436 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 12/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |