Organization
ACT XII COUNSELING AND MINISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN MARIE FRANK (SECRETARY/TREASURER)
(920) 459-8866
Entity
Organization
Contact information
Practice address
4023 N 47TH PL, SHEBOYGAN, WI 53083-2554
(920) 459-8866
(920) 459-8866
Mailing address
4023 N 47TH PL, SHEBOYGAN, WI 53083-2554
(920) 459-8866
(920) 459-8866
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
L025526
WI
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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