Organization
ONE LOVE:HARMONIZING MIND, BODY, SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HOFACKER LPC-IT (CO-DIRECTOR)
(920) 221-6112
Entity
Organization
Contact information
Practice address
1366 APPLETON RD, MENASHA, WI 54952-1504
(920) 221-6112
Mailing address
1366 APPLETON RD, MENASHA, WI 54952-1504
(920) 221-6112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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