Organization
PEACE OF MIND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY K CLARK LPC, LPCC (OWNER/ADMINISTRATOR)
(608) 797-5679
Entity
Organization
Contact information
Practice address
115 5TH AVE S, SUITE 507, LA CROSSE, WI 54601-9200
(608) 797-5679
Mailing address
115 5TH AVENUE SOUTH, SUITE 507, LA CROSSE, WI 54601
(608) 797-5679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3814-125
WI
Other
Enumeration date
05/07/2013
Last updated
09/27/2018
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