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Organization
PEACEFUL PINES HEALING PRACTICES, LLC
Active
Organization
PEACEFUL PINES HEALING PRACTICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA M SYKE MS ED, LPC (OWNER OF PRACTICE)
(920) 229-3929
Entity
Organization
Contact information
Practice address
W3470 BADGER RD, PINE RIVER, WI 54965-8118
(920) 229-3929
Mailing address
W3470 BADGER RD, PINE RIVER, WI 54965-8118
(920) 229-3929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5328-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861810194
INDIVIDUAL NPI FOR OWNER OF PRACTICE
WI
Enumeration date
05/18/2017
Last updated
07/21/2022
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