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Mental Health and Substance Abuse Programs in alphabetical

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DEPARTMENT OF HEALTH SERVICES<br />

Division of Quality Assurance<br />

Pr<strong>in</strong>t Date: 08/28/2012<br />

Page 239 of 335<br />

Certification Number/<br />

Certified Provider's Ma<strong>in</strong> Site/<br />

Email/Telephone<br />

1737<br />

PIERCE COUNTY DEPARTMENT OF HUMAN<br />

SERVICES<br />

RON KIESLER<br />

412 W. KINNE STREET<br />

ELLSWORTH, WI 54011<br />

County: Pierce<br />

ron.kiesler@co.pierce.wi.us<br />

Phone: (715) 273-6770<br />

Fax: (715) 273-6862<br />

Surveyor: Polly Wong<br />

Services<br />

Community <strong>Substance</strong> <strong>Abuse</strong> <strong>and</strong> <strong>Mental</strong> <strong>Health</strong><br />

Program Certification Directory<br />

By Provider Name & Certification Number<br />

Initial Certification/<br />

Certification Effective/<br />

Certification Expires<br />

12/01/1981<br />

04/01/2011<br />

03/31/2013<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

CSAS-Emergency Outpatient DHS 75.05<br />

CSAS-Outpatient Treatment DHS 75.13<br />

<strong>Mental</strong> <strong>Health</strong>-Emergency Service 2 DHS 34.2<br />

1738<br />

PLATTEVILLE FAMILY RESOURCE CENTER, INC.<br />

MARC K. WRUBLE<br />

1155 N ELM STREET, #120<br />

PLATTEVILLE, WI 53818<br />

County: Grant<br />

drwruble@gmail.com<br />

Phone: (608) 348-4060<br />

Fax: (608) 348-4191<br />

Surveyor: Cynthia L<strong>in</strong>dgren<br />

Services<br />

STATE OF WISCONSIN<br />

Bureau of <strong>Health</strong> Services<br />

PO Box 2969<br />

Madison, WI 53701-2969<br />

Tier/<br />

Branch Beg<strong>in</strong>/<br />

Branch Location(s) End Dates<br />

NO BRANCH LOCATIONS<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

09/08/1995<br />

10/01/2010<br />

09/30/2012<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

2465<br />

PLESHE COUNSELING SERVICES<br />

KAREN PLESHE<br />

2631 S PACKERLAND DRIVE, #104E<br />

GREEN BAY, WI 54313<br />

County: Brown<br />

kpleshe79@yahoo.com<br />

Phone: (920) 884-1145<br />

Fax: (920) 632-4478<br />

Surveyor: Frank Bellaire<br />

Services<br />

PLATTEVILLE FAMILY RESOURCE<br />

CENTER INC<br />

731 CLAY STREET<br />

DARLINGTON, WI 53530<br />

PLATTEVILLE FAMILY RESOURCE<br />

CENTER, INC<br />

8820 HWY 35 & 61<br />

LANCASTER, WI 53813<br />

PLATTEVILLE FAMILY RESOURCE<br />

CENTER, INC<br />

700 MAIN STREET<br />

DARLINGTON, WI 53530<br />

04/01/2011 03/31/2013<br />

04/01/2011 03/31/2013<br />

04/01/2011 03/31/2013<br />

04/01/2011 10/31/2011<br />

Tier 1<br />

10/01/2010<br />

11/30/2010<br />

Tier 1<br />

11/09/2011<br />

09/30/2012<br />

Tier 1<br />

12/01/2010<br />

09/30/2012<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

08/25/2003<br />

09/01/2009<br />

08/31/2010<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

NO BRANCH LOCATIONS<br />

10/01/2010 09/30/2012<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

09/01/2009 08/31/2010

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