Peace In Colorful Dynamics, Llc | |
516 E Wisconsin Ave Appleton WI 54911 | |
(920) 659-0078 | |
Not Available |
Full Name | Peace In Colorful Dynamics, Llc |
---|---|
Speciality | Counselor |
Location | 516 E Wisconsin Ave, Appleton, Wisconsin |
Authorized Official Name and Position | Samantha Hanson (OWNER) |
Authorized Official Contact | 9206590078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peace In Colorful Dynamics, Llc 516 E Wisconsin Ave Appleton WI 54911 Ph: (920) 659-0078 | Peace In Colorful Dynamics, Llc 516 E Wisconsin Ave Appleton WI 54911 Ph: (920) 659-0078 |
NPI Number | 1689450918 |
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Provider Enumeration Date | 09/01/2023 |
Last Update Date | 09/01/2023 |
Certification Date | 09/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689450918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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