Growing Oak LLC
Counselor, Professional in Ripon, WI. Organization (NPI-2).
NPI number1306195276
StatusActive
Last updated in NPPESSep 6, 2012
Details
- NPI
- 1306195276
- Entity type
- Organization (NPI-2)
- Legal business name
- Growing Oak LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2012
- Last updated
- Sep 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 4622-125 | WI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 4622-125 | WI |
Practice location
112 Watson StRipon, WI 54971-1327
Phone 920-896-0189 · Fax 920-694-3021
Mailing address
112 Watson StRipon, WI 54971-1327
Phone 920-896-0189 · Fax 920-694-3021
Authorized official
Lindsay Loewe
Mental Health & Substance Abuse
6084691753
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