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CLEARWATER COUNSELING AND PERSONAL GROWTH CENTER INC. NPI 1205979168


NPI Information

NPI: 1205979168
Provider Name: CLEARWATER COUNSELING AND PERSONAL GROWTH CENTER, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4330 GOLF TER STE 214
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 832-4060
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CLEARWATER COUNSELING AND PERSONAL GROWTH CENTER, INC. is a mental health counselor in Eau Claire, WI. CLEARWATER COUNSELING AND PERSONAL GROWTH CENTER, INC. NPI is 1205979168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4330 GOLF TER STE 214
EAU CLAIRE, WI
ZIP 54701-688
Phone: (715) 832-4060
Fax: (844) 829-0296

The provider's authorized official is Janice Susan O'connor .
The authorized official title is Director and has the following contact phone number (715) 832-4060.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 1/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health1203WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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