Organization
HEAL FROM WITHIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RUMMEL BUSCH LCSW (OWNER)
(847) 774-2264
Entity
Organization
Contact information
Practice address
6401 205TH AVE, BRISTOL, WI 53104-9730
(847) 774-2264
Mailing address
6401 205TH AVE, BRISTOL, WI 53104-9730
(847) 774-2264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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