Organization
HOPE ROAD WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA M THOMPSON LCSW (MENTAL HEALTH CLINICIAN)
(715) 491-5365
Entity
Organization
Contact information
Practice address
107 HOPE ROAD WEST, FREDERIC, WI 54837-0383
(715) 491-5365
(800) 684-2131
Mailing address
PO BOX 383, FREDERIC, WI 54837-0383
(715) 869-6484
(800) 684-2131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8287
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689004426
—
MN
Enumeration date
06/21/2018
Last updated
07/30/2024
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