Mental Health and Substance Abuse Programs in alphabetical

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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 144 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2267 JOHNSON COUNSELING AND CONSULTING JOHN JOHNSON 505 KING STREET, #227 LA CROSSE, WI 54601 County: La Crosse jjcounselor@centurytel.net Phone: (608) 796-2710 Fax: (608) 796-2712 Surveyor: Polly Wong Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 12/26/2000 04/01/2011 12/31/2012 CSAS-Intervention DHS 75.16 1598 JOURNEY MENTAL HEALTH CENTER FORDEM CONNECTIONS CSP CORINDA RAINEY-MOORE 2000 FORDEM AVENUE, 1ST FLOOR MADISON, WI 53704 County: Dane No Email Address Provided Phone: (608) 280-3180 Fax: (608) 280-3185 Surveyor: William Rohner Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 09/01/1990 01/01/2012 10/31/2012 Mental Health-Community Support Program DHS 63 1599 JOURNEY MENTAL HEALTH CENTER GATEWAY COMMUNITY SUPPORT PROGRAM SUE MAURER 1423 S PARK STREET MADISON, WI 53715 County: Dane sue.maurer@mhcdc.org Phone: (608) 280-3150 Fax: (608) 280-3160 Surveyor: William Rohner Services NO BRANCH LOCATIONS 04/01/2011 12/31/2012 Administrative Code Chapter Service Begin/End Dates 09/01/1990 01/01/2012 01/31/2013 Mental Health-Community Support Program DHS 63 NO BRANCH LOCATIONS 01/01/2012 10/31/2012 Administrative Code Chapter Service Begin/End Dates 01/01/2012 01/31/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 145 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1596 JOURNEY MENTAL HEALTH CENTER INC LYNN BRADY 625 W. WASHINGTON AVENUE MADISON, WI 53703 County: Dane Lynn.brady@journeymhc.org Phone: (608) 280-2700 Fax: (608) 280-2707 Surveyor: William Rohner Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 10/01/1975 03/01/2012 02/28/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1593 JOURNEY MENTAL HEALTH CENTER-COMMUNITY TREATMENT ALTERNATIVES CSP DAVE DELAP 708 WILLIAMSON STREET MADISON, WI 53703 County: Dane dave.delap@mhcdc.org Phone: (608) 280-2740 Fax: (608) 280-2775 Surveyor: William Rohner Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 02/01/1992 02/01/2012 01/31/2014 Mental Health-Community Support Program DHS 63 1595 JOURNEY MENTAL HEALTH CENTER-YAHARA HOUSE GAIL MARKER 802 E. GORHAM STREET MADISON, WI 53703 County: Dane gail.marker@journeymhc.org Phone: (608) 280-4700 Fax: (608) 280-4730 Surveyor: William Rohner Services NO BRANCH LOCATIONS 03/01/2012 02/28/2014 03/01/2012 02/28/2014 Administrative Code Chapter Service Begin/End Dates 10/01/1975 01/01/2012 01/31/2014 Mental Health-Day Treatment DHS 61.75 NO BRANCH LOCATIONS 02/01/2012 01/31/2014 Administrative Code Chapter Service Begin/End Dates 01/01/2012 01/31/2014
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