Organization
PURE WAVES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ANN MATTHIES (OWNER)
(920) 376-8920
Entity
Organization
Contact information
Practice address
1476 KENWOOD DR STE 102, MENASHA, WI 54952-1134
(920) 376-8920
Mailing address
W5820 DELTA DR, MENASHA, WI 54952-4400
(920) 376-8920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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