Northeast Wisconsin Behavioral Health SC
Northeast Wisconsin Behavioral Health SC is a Mental Health Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
529 S Jefferson St Ste 202Green Bay, WI 54301-4125
Phone: (920) 884-2175
Fax: (920) 884-6735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 4044-123 (WI) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 2376 125 (WI) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 4044 123 (WI) |
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 489 124 (WI) |
Record details
| NPI number | 1275733602 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Suzette Kosnar-Tittl — Owner, Ceo, Provider · (920) 884-2175 |
| NPI enumerated | July 24, 2007 |
| Last updated in NPPES | October 16, 2023 |
| Mailing address | 529 South Jefferson Street, Suite 202, Green Bay, WI 54301-4125 |
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