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Organization
RIVER VALLEY RENEWAL COUNSELING AND WELLNESS CENTER
Active
Organization
RIVER VALLEY RENEWAL COUNSELING AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY BREAULT MA, LPC (CEO)
(715) 483-7300
Entity
Organization
Contact information
Practice address
809 US HIGHWAY 8, SAINT CROIX FALLS, WI 54024-8335
(715) 483-7300
(715) 483-7301
Mailing address
809 US HIGHWAY 8, SAINT CROIX FALLS, WI 54024-8335
(715) 483-7300
(715) 483-7301
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902207012
—
WI
Enumeration date
10/28/2020
Last updated
10/28/2020
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