| Mend Counseling Llc | |
|
1712 N Drew St Appleton WI 54911-2927 | |
| (920) 234-6842 | |
| Not Available |
| Full Name | Mend Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1712 N Drew St, Appleton, Wisconsin |
| Authorized Official Name and Position | Jonathon Donald Jacobs (LEAD CLINICIAN/OWNER) |
| Authorized Official Contact | 9202346842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mend Counseling Llc 1712 N Drew St Appleton WI 54911-2927 Ph: (920) 234-6842 | Mend Counseling Llc 1712 N Drew St Appleton WI 54911-2927 Ph: (920) 234-6842 |
| NPI Number | 1457087850 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457087850 | NPI | - | NPPES |
| 100058290 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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