Organization
CHANGING HABITS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BAER LPC, NBCCH, NBCC (PRESIDENT)
(920) 570-1904
Entity
Organization
Contact information
Practice address
1030 W HAWES AVE, APPLETON, WI 54914-2722
(920) 570-1904
(877) 673-1148
Mailing address
1030 W HAWES AVE, APPLETON, WI 54914-2722
(920) 570-1904
(877) 673-1148
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3596-125
WI
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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