Organization
ABUNDANT LIFE COUNSELING & RENEWAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN NITKA LCSW (OWNER)
(920) 482-2932
Entity
Organization
Contact information
Practice address
3049 RAMADA WAY STE 200, GREEN BAY, WI 54304-5576
(920) 482-2932
Mailing address
3049 RAMADA WAY STE 200, GREEN BAY, WI 54304-5576
(920) 482-2932
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
02/06/2024
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