Organization
MEND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHON DONALD JACOBS MS, NCC, LPC (LEAD CLINICIAN/OWNER)
(920) 234-6842
Entity
Organization
Contact information
Practice address
1712 N DREW ST, APPLETON, WI 54911-2927
(920) 234-6842
Mailing address
1712 N DREW ST, APPLETON, WI 54911-2927
(920) 234-6842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058290
—
WI
Enumeration date
07/27/2022
Last updated
10/26/2022
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