Organization
SONG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANH N SONG (OWNER)
(920) 264-5173
Entity
Organization
Contact information
Practice address
2150 MEMORIAL DR STE 213, GREEN BAY, WI 54303-6335
(920) 633-3515
Mailing address
2150 MEMORIAL DR STE 213, GREEN BAY, WI 54303-6335
(920) 264-5173
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
10/26/2022
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