Organization
THE SIMPLICITY IN AUTHENTICITY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GABRIELA RUTH JUMP LPC (PSYCHOTHERAPIST)
(608) 389-0253
Entity
Organization
Contact information
Practice address
811 E WASHINGTON AVE STE 400, MADISON, WI 53703-4028
(608) 389-0253
Mailing address
PO BOX 211, DEFOREST, WI 53532-0211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4334-226
—
WI
Enumeration date
04/12/2022
Last updated
05/21/2024
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