Organization
GROUNDED LIVING ECOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA MALM LPC (OWNER)
(715) 494-0004
Entity
Organization
Contact information
Practice address
401 ROOSEVELT DR, DRESSER, WI 54009-9065
(715) 494-0004
Mailing address
401 ROOSEVELT DR, DRESSER, WI 54009-9065
(715) 494-0004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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