Organization
HOLDING SPACE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE RUTKOWSKI MA, LMFT, RPT (MARRIAGE AND FAMILY THERAPIST)
(651) 564-8456
Entity
Organization
Contact information
Practice address
N2440 ARA GLEN DR STE 203, LAKE GENEVA, WI 53147-3736
(651) 564-8456
Mailing address
N2440 ARA GLEN DR STE 203, LAKE GENEVA, WI 53147-3736
(651) 564-8456
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
03/21/2024
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