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 152 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1469 KOINONIA JIM WEBB 1991 WINNEBAGO STREET RHINELANDER, WI 54501 County: Oneida jwebb@optionstx.com Phone: (715) 362-5745 Fax: (715) 362-2819 Surveyor: Bradley Jahr Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 10/01/1986 12/23/2011 11/30/2012 CSAS-Medically Monitored Treatment DHS 75.11 CSAS-Residential Intoxication Monitoring DHS 75.09 2528 KRAWCZYK COUNSELING SERVICES, LLC GAIL KRAWCZYK 2631 S PACKERLAND DRIVE, #104C GREEN BAY, WI 54313 County: Brown No Email Address Provided Phone: (920) 965-7701 Fax: No Number Provided Surveyor: Frank Bellaire 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 06/23/2004 08/31/2009 06/30/2011 Mental Health Outpatient Clinic DHS 35 2250 KRISS AND ASSOCIATES MARLIN KRISS 6702 STONEFIELD ROAD, #100 MIDDLETON, WI 53562 County: Dane marlin.krissandassociates@gmail.com Phone: (608) 836-5529 Fax: (608) 836-8059 Surveyor: William Rohner Services NO BRANCH LOCATIONS 12/23/2011 11/30/2012 12/23/2011 11/30/2012 Administrative Code Chapter Service Begin/End Dates 10/01/2000 10/01/2010 09/30/2012 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 08/31/2009 06/30/2011 Administrative Code Chapter Service Begin/End Dates 10/01/2010 09/30/2012
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 153 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2445 KRISTINE L. CLARK- SETNESS, MS, LMFT, ATR, INC. KRISTINE L CLARK-SETNESS 101 E. SADD STREET NORTH PRAIRIE, WI 53153 County: Waukesha kcsetnes@aol.com Phone: (262) 392-5558 Fax: (262) 392-5580 Surveyor: Mark Isaacs Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 05/07/2003 06/01/2008 05/31/2010 Mental Health-Outpatient DHS 61.91 1473 KROHN CLINIC, LTD. SHERIE SPAULDING BH MGR 610 W. ADAMS STREET BLACK RIVER FALLS, WI 54615 County: Jackson spauldings@krohnclinic.com Phone: (715) 284-1901 Fax: (715) 284-1890 Surveyor: Polly Wong 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 02/01/1988 05/01/2011 04/30/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1485 LA CASA DE ESPERANZA, INC. OUTPATIENT CLINIC LEE WIPFLI, SAC 210 N W BARSTOW ST, #110 WAUKESHA, WI 53188 County: Waukesha lwipfli@lacasadeesperanza.org Phone: (262) 928-4402 Fax: (262) 928-7340 Surveyor: Mark Isaacs Services NO BRANCH LOCATIONS 06/01/2008 05/31/2010 Administrative Code Chapter Service Begin/End Dates 04/01/1993 04/01/2012 03/31/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 NO BRANCH LOCATIONS 05/01/2011 04/30/2013 05/01/2011 04/30/2013 Administrative Code Chapter Service Begin/End Dates 04/01/2012 03/31/2014 04/01/2012 03/31/2014
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