Organization
JACOB'S WELL COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE GHOST (ADMINISTRATOR)
(920) 931-2531
Entity
Organization
Contact information
Practice address
3340 LINEVILLE RD, GREEN BAY, WI 54313-7237
(920) 562-6236
Mailing address
3340 LINEVILLE RD, GREEN BAY, WI 54313-7237
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
04/22/2025
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