Organization
MIND, BODY & SOUL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ISUNZA (OWNER)
(608) 931-7224
Entity
Organization
Contact information
Practice address
1326 CRESTON PARK DR, JANESVILLE, WI 53545-1156
(608) 931-7224
Mailing address
1326 CRESTON PARK DR, JANESVILLE, WI 53545-1156
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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