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Optum Behavioral Care of Colorado, P.C. — NPI 1104688365, Fond Du Lac, WI | NPI Central

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NPI 1104688365

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Optum Behavioral Care of Colorado, P.C.

NPI 1104688365 · Counseling Psychologist · Fond Du Lac, WI

Provider details

NPI number: 1104688365
Entity type: Organization
Primary specialty: Counseling PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Leslie Johnson, Ceo(704) 506-6267

Specialties & taxonomies

Counseling PsychologistPrimary103TC1900X
Behavioral Health & Social Service Providers

Practice location

196 3rd St

Fond Du Lac, WI 54935-4418

Phone: (920) 733-2065

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

11000 Optum Cir

Eden Prairie, MN 55344-2503

Other names (DBA / former)

Doing business as: Delta Center of Wisconsin

Registry dates

Enumerated: 2024-01-24
Last updated: 2024-04-24
Certified: 2024-04-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.