OrganizationActive
Community Counseling & Evaluation Services, LLC
NPI 1700390374 · Adult Mental Health Clinic/Center · Jefferson, WI
Provider details
- NPI number
- 1700390374
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tammy King, Ceo(920) 728-1125
- License
- 6752-123 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
115 S Main St
Jefferson, WI 53549-1631
Phone: (920) 728-1125
Approximate (ZIP-level) locationGet directions
Mailing address
125 E Woolcock St
Jefferson, WI 53549-1234
Registry dates
- Enumerated
- 2017-11-18
- Last updated
- 2017-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.