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Organization

CARAVEL COUNSELING AND DIAGNOSTICS SC

Active
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Organization

CARAVEL COUNSELING AND DIAGNOSTICS SC

Active
Parent organization
CARAVEL AUTISM HEALTH, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARAVEL AUTISM HEALTH, LLC
Authorized official
MICHAEL MILLER (CEO)
(920) 857-9041
Entity
Organization

Contact information

Practice address
700 COMMERCE DR STE 260, WOODBURY, MN 55125-9243
(920) 857-9041
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103TC1900X
Counseling Psychologist

Other

Enumeration date
05/20/2021
Last updated
08/05/2025
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