NORTHWEST COUNSELING & GUIDANCE CLINIC NPI 1063721017

NPI Information

NORTHWEST COUNSELING & GUIDANCE CLINIC is a mental health (including community mental health center) clinic center in Appleton, WI. NORTHWEST COUNSELING & GUIDANCE CLINIC NPI is 1063721017. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Directions - Depere.

The provider's business location address is:

442 N WESTHILL BLVD
SUITE B
APPLETON, WI
ZIP 54914-830
Phone: (920) 364-9668
Fax: (833) 581-5765

The provider's authorized official is Jackie Maurer .
The authorized official title is Office Supervisor and has the following contact phone number (715) 349-7069.

The enumeration date for this NPI number is 9/24/2010 and was last updated on 5/5/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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