Organization
JOURNEY OF GRACE COUNSELING LLC
Active
Other names
Journey of Grace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEBORAH ANN BONGERS LPC (LICENSED PROFESSIONAL COUNSELOR)
(920) 750-6120
Entity
Organization
Contact information
Practice address
5497 W WATERFORD LN, SUITE A, APPLETON, WI 54913-8509
(920) 750-6120
(920) 750-6121
Mailing address
2636 W SUNNYVIEW CIR, APPLETON, WI 54914-1164
(920) 750-6120
(920) 750-6121
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5970-125
WI
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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