A Beautiful Journey, Llc | |
1011 N Lynndale Dr Ste 2d Appleton WI 54914-3091 | |
(920) 268-3242 | |
Not Available |
Full Name | A Beautiful Journey, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 1011 N Lynndale Dr Ste 2d, Appleton, Wisconsin |
Authorized Official Name and Position | Jacqueline Anderson (OWNER/PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 9202683242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Beautiful Journey, Llc 726 Hummingbird Ln Neenah WI 54956-5607 Ph: (920) 268-3242 | A Beautiful Journey, Llc 1011 N Lynndale Dr Ste 2d Appleton WI 54914-3091 Ph: (920) 268-3242 |
NPI Number | 1003221789 |
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Provider Enumeration Date | 06/21/2014 |
Last Update Date | 01/06/2020 |
Certification Date | 01/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003221789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4691125 (Wisconsin) | Primary |
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