Organization
WILD HOPE COUNSELING & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA M. BUBLITZ MA, LPC (OWNER/PROFESSIONAL COUNSELOR)
(262) 339-9949
Entity
Organization
Contact information
Practice address
215 N MAIN ST STE 204, WEST BEND, WI 53095-3347
(262) 343-8285
Mailing address
1511 WALSH ACRES DR, WEST BEND, WI 53095-5401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3956-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881714681
NPI
—
05
—
43729700
—
WI
Enumeration date
03/02/2018
Last updated
03/02/2018
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