Organization
INNER LIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN PEAVEY FUCHS MA, LPC (WI),LP (MN) (OWNER)
(715) 222-2260
Entity
Organization
Contact information
Practice address
1724 LAUREL AVE, HUDSON, WI 54016-2049
(715) 222-2260
(715) 386-2858
Mailing address
1724 LAUREL AVE, HUDSON, WI 54016-2049
(715) 222-2260
(715) 386-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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