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Organization

LIFE'S A BEACH COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIE R BOWYER MSW, LCSW (OWNER)
(608) 921-8493
Entity
Organization

Contact information

Practice address
1307 STATE ROAD 69, NEW GLARUS, WI 53574-9328
(608) 921-8493
Mailing address
PO BOX 879, NEW GLARUS, WI 53574-0879
(608) 921-8493

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/26/2020
Last updated
05/26/2020
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