Organization
ACTUALIZE COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE A BAKER LPC (OWNER / PSYCHOTHERAPIST)
(434) 660-9685
Entity
Organization
Contact information
Practice address
8383 GREENWAY BLVD STE 609, MIDDLETON, WI 53562-4626
(434) 660-9685
Mailing address
8383 GREENWAY BLVD STE 609, MIDDLETON, WI 53562-4626
(434) 660-9685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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