Organization
BASE COUNSELING & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA GROTHE-BUMGARDNER MS, LMFT, LPCC (OWNER)
(507) 626-2787
Entity
Organization
Contact information
Practice address
106 2ND ST NW, FULDA, MN 56131-1101
(507) 626-2787
Mailing address
PO BOX 282, FULDA, MN 56131-0282
(507) 626-2787
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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