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COUNTY OF DOOR-DOOR COUNTY LIBRARY

Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

Provider NPI: 1245265693

Organization Information:
Organization Name:  COUNTY OF DOOR-DOOR COUNTY LIBRARY
Organization is not Subpart
Authorized Official:  JOSEPH ALLEN KREBSBACH  PROGRAM DIRECTOR  920-746-7155

Practice Location:
421 NEBRASKA ST  STURGEON BAY, WI 54235-2225 US
Tel: 920-746-2345  Fax: 920-746-2439

Business Mailing Address:
421 NEBRASKA ST  STURGEON BAY, WI 54235-2225 US
Tel: 920-746-7155  Fax: 920-746-2439

NPI Information:
NPI: 1245265693
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
WI1283
N101YM0800XBehavioral Health & Social Service Providers
Counselor
WI1283
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
N103TC1900XBehavioral Health & Social Service Providers
Psychologist
WI1283
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
WI1283
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
N251B00000XAgencies
Case Management
Y261QM0801XAmbulatory Health Care Facilities
Clinic/Center
WI1283
N261QM1300XAmbulatory Health Care Facilities
Clinic/Center
WI1283
N251S00000XAgencies
Community/Behavioral Health
WI2159

Other Provider Identifiers:

IssuerNumberStateType
43090300WI05
41210100WI05
43424300WI05
42140200WI05
43112400WI05



American Medical Association 2012 taxonomy code information

Code: 261QM0801X

Type:

Classification:



Definition:



MEDICAL JOBS WI - Page 1

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