Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Child, Marriage & Family Therapy Clinic

Organization Addiction (Substance Use Disorder) Counselor · NPI 1336264829

Child, Marriage & Family Therapy Clinic is an Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
7
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Practice location Address checks out

6939 Mariner Dr Ste C
Racine, WI 53406-3938
Phone: (262) 886-8702
Fax: (262) 886-8714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 369-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1035-132 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 947-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 521-126 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 1012-125 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2254-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2031-123 (WI)

Record details

NPI number1336264829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Johnson Visor — Owner · (262) 886-8702
NPI enumeratedMarch 21, 2007
Last updated in NPPESJune 16, 2010
Mailing address6939 Mariner Dr, Suite C, Racine, WI 53406-3938

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