Organization
DIVINE WELLNESS & COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONETTA WALKER LPC (LPC/ OWNER)
(414) 502-9355
Entity
Organization
Contact information
Practice address
5205 N IRONWOOD RD STE 117, GLENDALE, WI 53217-4907
(414) 502-9355
(414) 396-4101
Mailing address
5205 N IRONWOOD RD STE 117, GLENDALE, WI 53217-4907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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