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Organization
EVOLVE WITH KAREN COUNSELING SERVICE
Active
Organization
EVOLVE WITH KAREN COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN SUE MUNDT C-SAC (COUNSELOR)
(715) 305-8112
Entity
Organization
Contact information
Practice address
304 S MAIN ST, UNIT F, MEDFORD, WI 54451-1845
(715) 305-8112
(715) 748-0208
Mailing address
304 S. MAIN STREET, UNIT F, MEDFORD, WI 54451-1845
(715) 305-8112
(715) 748-0208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39385400
—
WI
Enumeration date
12/26/2014
Last updated
12/26/2014
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