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Organization

EVOLVE WITH KAREN COUNSELING SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAREN SUE MUNDT C-SAC (COUNSELOR)
(715) 305-8112
Entity
Organization

Contact information

Practice address
304 S MAIN ST, UNIT F, MEDFORD, WI 54451-1845
(715) 305-8112
(715) 748-0208
Mailing address
304 S. MAIN STREET, UNIT F, MEDFORD, WI 54451-1845
(715) 305-8112
(715) 748-0208

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39385400
WI
Enumeration date
12/26/2014
Last updated
12/26/2014
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