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Organization

GUIDED WELLNESS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSEY HATCHER (OPERATIONS MANAGER)
(262) 287-1999
Entity
Organization

Contact information

Practice address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 287-1999
Mailing address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 287-1999
(262) 287-0884

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831489269
WI
Enumeration date
08/26/2015
Last updated
10/31/2023
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