Healthcare Provider Details
I. General information
NPI: 1730194564
Provider Name (Legal Business Name): RECOVERY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2006
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3273 CHURCH ST STE 1
STEVENS POINT WI
54481-5322
US
IV. Provider business mailing address
3273 CHURCH ST STE 1 P.O. BOX 371
STEVENS POINT WI
54481-5322
US
V. Phone/Fax
- Phone: 715-344-4800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 1539 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 6660-123 |
| License Number State | WI |
VIII. Authorized Official
Name: MRS.
CATHRYN
A
LASZINSKI
Title or Position: DIRECTOR/OWNER/PSYCHOTHERAPIST
Credential: LCSW/CADC III
Phone: 715-344-4800