Organization
EVOLVE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE J SPANGLER MA, LPC (OWNER)
(715) 298-6201
Entity
Organization
Contact information
Practice address
2600 RIB MOUNTAIN DR, SUITE 101, WAUSAU, WI 54401-7196
(715) 298-6201
(715) 600-9031
Mailing address
2600 RIB MOUNTAIN DR, SUITE 101, WAUSAU, WI 54401-7196
(715) 298-6201
(715) 600-9031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5581125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039690
—
WI
Enumeration date
04/25/2016
Last updated
04/25/2016
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