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Organization

SOUL-FULL SOLUTIONS COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LINDA J HAYNES MS, LPC (OWNER)
(715) 805-6111
Entity
Organization

Contact information

Practice address
423 GRAND AVE, MERRILL, WI 54452-2220
(715) 805-6111
(715) 539-8000
Mailing address
PO BOX 395, 423 GRAND AVE, MERRILL, WI 54452-0395
(715) 805-6111
(715) 539-8000

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2450
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42253700
WI
Enumeration date
11/14/2008
Last updated
11/14/2008
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