| NPI | 1659466860 |
|---|---|
| Doing Business As | CHRISTIAN LIFE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MENGO Administrator 262-785-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-04-26 |