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Organization
MENDING MINDS COUNSELING AND WELLNESS LLC
Active
Organization
MENDING MINDS COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A HANSEN MSE (BEHAVIORAL HEALTH COUNSELOR)
(920) 420-3188
Entity
Organization
Contact information
Practice address
1370 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 420-3188
Mailing address
3155 HAYWARD AVE, OSHKOSH, WI 54904-7446
(920) 420-3188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2937-226
WI
101YS0200X
School Counselor
34629
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055261
—
WI
Enumeration date
05/24/2017
Last updated
05/24/2017
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