Organization
AMBASSADORS FOR SPIRITUAL & MENTAL WELLNESS
Active
Other names
Recovery 101 Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
WADE LYNN LANG LPCC, LADC (EXECUTIVE DIRECTOR)
(507) 359-7101
Entity
Organization
Contact information
Practice address
23 MINNESOTA ST S, NEW ULM, MN 56073
(507) 359-7101
(651) 323-2053
Mailing address
23 MINNESOTA ST. S PO BOX 68, NEW ULM, MN 56073
(507) 359-7101
(651) 323-2053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1085116-1-SUDX
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
21041
MN
Other
Enumeration date
02/06/2017
Last updated
09/01/2018
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