Organization
EQUIPOISE PROFESSIONAL COUNSELING AND PERSONAL COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W PALUCH RN (BSN) LPC (MS) (REGISTERED AGENT)
(920) 327-2596
Entity
Organization
Contact information
Practice address
1208 S MONROE AVE, GREEN BAY, WI 54301-3002
(920) 327-2596
Mailing address
1208 S MONROE AVE, GREEN BAY, WI 54301-3002
(920) 327-2596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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