Organization
FIRST LIGHT COUNSELING SERVICES LLC
Active
Other names
Laurel Howard-Boardman
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL HOWARD-BOARDMAN MSSW,LCSW (MEMBER)
(920) 739-9230
Entity
Organization
Contact information
Practice address
W6385 FIRELANE 8, MENASHA, WI 54952-9746
(920) 739-9230
Mailing address
W6385 FIRELANE 8, MENASHA, WI 54952-9746
(920) 739-9230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7294-123
WI
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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