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Organization
WILD WITHIN WELLNESS LLC
Active
Organization
WILD WITHIN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA KATE HUBBELL LPC (MANAGER/MEMBER)
(425) 299-3097
Entity
Organization
Contact information
Practice address
45 NW GREELEY AVE, BEND, OR 97703-2943
(425) 299-3097
Mailing address
7 FAIRFIELD ST, AUGUSTA, ME 04330-4401
(425) 299-3097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
12/13/2024
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