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 76 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1243 COUNCIL ON AODA OF WASHINGTON COUNTY MARY SIMON 1625 E. WASHINGTON, #300 WEST BEND, WI 53095 County: Washington msimon@councilonaoda.org Phone: (414) 335-6888 Fax: (262) 335-6899 Surveyor: William Goehring Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 03/01/1990 03/01/2011 02/28/2013 CSAS-Intervention DHS 75.16 CSAS-Prevention DHS 75.04 1247 COUNSELING & PSYCHOTHERAPY SERVICES LISA CALL 330 SOUTH WHITNEY WAY #304 MADISON, WI 53705 County: Dane cps5812@att.net Phone: (608) 231-3191 Fax: (608) 231-3108 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 12/01/1987 12/01/2011 11/30/2013 Mental Health Outpatient Clinic DHS 35 2053 COUNSELING AND DEVELOPMENT CENTER, INC. COMMUNITY SUPPORT PROGRAM BRIAN FALCK 171 CHESTNUT STREET PHILLIPS, WI 54555 County: Price No Email Address Provided Phone: (715) 339-3048 Fax: (715) 339-2436 Surveyor: Bradley Jahr Services NO BRANCH LOCATIONS 03/01/2011 02/28/2013 03/01/2011 02/28/2013 Administrative Code Chapter Service Begin/End Dates 08/01/1998 11/01/2011 10/31/2013 Mental Health-Community Support Program DHS 63 NO BRANCH LOCATIONS 12/01/2011 11/30/2013 Administrative Code Chapter Service Begin/End Dates 11/01/2011 10/31/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 77 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1244 COUNSELING AND DEVELOPMENT CENTER, INC. BRIAN FALCK 171 CHESTNUT STREET PHILLIPS, WI 54555 County: Price cdc@pctcnet.net Phone: (715) 339-3048 Fax: (715) 339-2436 Surveyor: Bradley Jahr Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 08/01/1982 11/01/2011 07/31/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 2370 COUNSELING AND TRANSITION CENTER THERON MILLS 3073 S CHASE AVENUE MILWAUKEE, WI 53207 County: Milwaukee ctctheronmills@gmail.com Phone: (414) 727-2780 Fax: (414) 727-5883 Surveyor: Demetrius Anderson Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates COUNSELING & DEVELOPMENT CENTER Tier 1 214 - 4TH AVENUE N 11/01/2011 PARK FALLS, WI 54552 07/31/2013 Administrative Code Chapter Service Begin/End Dates 04/30/2002 06/01/2011 04/30/2013 Mental Health Outpatient Clinic DHS 35 2802 COUNSELING ASSOCIATES LLC MARIO EINSMAN 115 - 5TH AVENUE SOUTH, #301 LA CROSSE, WI 54601 County: La Crosse marioe@hbci.com Phone: (608) 785-0827 Fax: (608) 785-0273 Surveyor: Polly Wong Services 11/01/2011 07/31/2013 11/01/2011 07/31/2013 COUNSELING AND TRANSITION CENTER Tier 1 121 WISCONSIN AVE. STE 214 04/01/2012 WAUKESHA, WI 53186 04/30/2013 Administrative Code Chapter Service Begin/End Dates 06/05/2008 06/01/2011 05/31/2013 Mental Health Outpatient Clinic DHS 35 06/01/2011 04/30/2013 COUNSELING ASSOCIATES LLC Tier 1 111 MARKET STREET #4A 06/01/2011 WINONA, MN 55987 05/31/2013 COUNSELING ASSOCIATES LLC Tier 1 1001 MC HUGH ROAD 06/01/2011 HOLMEN, WI 54636 05/31/2013 ONALASKA SCHOOL DISTRICT Tier 1 1821 E MAIN STREET 06/01/2011 ONALASKA, WI 54650 05/31/2013 Administrative Code Chapter Service Begin/End Dates 06/01/2011 05/31/2013
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Mental Health and Substance Abuse Programs in alphabetical

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