Organization
SOLE 2 SOUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE JENSEN (OWNER)
(920) 358-0344
Entity
Organization
Contact information
Practice address
2400 S KENSINGTON DR STE 400, APPLETON, WI 54915-4187
(920) 358-0344
Mailing address
2400 S KENSINGTON DR STE 400, APPLETON, WI 54915-4187
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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