| Life Counseling & Consulting, Llc | |
|
101 W Edison Avenue Suite 117 Appleton WI 54915-1930 | |
| (920) 931-4229 | |
| (920) 706-1477 |
| Full Name | Life Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 W Edison Avenue, Appleton, Wisconsin |
| Authorized Official Name and Position | Jim Franson (CLINICAL OWNER) |
| Authorized Official Contact | 9209314229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Counseling & Consulting, Llc 2807 E Lourdes Drive Appleton WI 54915-3914 Ph: (920) 931-4229 | Life Counseling & Consulting, Llc 101 W Edison Avenue Suite 117 Appleton WI 54915-1930 Ph: (920) 931-4229 |
| NPI Number | 1295373843 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295373843 | NPI | - | NPPES |
| 100016657 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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