| Actualize Counseling & Consulting, Llc | |
|
8383 Greenway Blvd Ste 609 Middleton WI 53562-4626 | |
| (434) 660-9685 | |
| Not Available |
| Full Name | Actualize Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8383 Greenway Blvd Ste 609, Middleton, Wisconsin |
| Authorized Official Name and Position | Jesse A Baker (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 4346609685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Actualize Counseling & Consulting, Llc 8383 Greenway Blvd Ste 609 Middleton WI 53562-4626 Ph: (434) 660-9685 | Actualize Counseling & Consulting, Llc 8383 Greenway Blvd Ste 609 Middleton WI 53562-4626 Ph: (434) 660-9685 |
| NPI Number | 1528831906 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528831906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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