Organization
ABUNDANT LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L GLASER LPC, LCPC (PRESIDENT)
(715) 642-1961
Entity
Organization
Contact information
Practice address
1701 W ALLEN ST, RICE LAKE, WI 54868-1872
(715) 642-1961
Mailing address
1311 S MAIN ST # 183, RICE LAKE, WI 54868-2828
(715) 642-1961
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/19/2019
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