Organization
BLUE HERON WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CAROLINE DAVISON LPC (OWNER/LPC)
(715) 229-3019
Entity
Organization
Contact information
Practice address
515 S BARSTOW ST STE 117, EAU CLAIRE, WI 54701-2618
(715) 229-3019
(715) 229-3268
Mailing address
515 S BARSTOW ST STE 117, EAU CLAIRE, WI 54701-2618
(715) 229-3019
(715) 229-3268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
11/19/2024
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