Organization
REVITALIZE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE JO SAINT (OWNER)
(920) 284-7950
Entity
Organization
Contact information
Practice address
1486 KENWOOD DR STE 101, MENASHA, WI 54952-1133
(920) 284-7950
Mailing address
1486 KENWOOD DR STE 101, MENASHA, WI 54952-1133
(920) 284-7950
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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