| NPI | 1760913362 |
|---|---|
| Doing Business As | CREATIVE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | HEATHER ANNE REARDON-NABBEFELD Counselor 920-470-8359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 6018-125) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |