| Restoring Balance Counseling Llc | |
|
110 W Linden Dr Ste B Jefferson WI 53549-1491 | |
| (920) 674-5050 | |
| (920) 674-5010 |
| Full Name | Restoring Balance Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 W Linden Dr Ste B, Jefferson, Wisconsin |
| Authorized Official Name and Position | Jeremy Burtch (DIRECTOR) |
| Authorized Official Contact | 6085773299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Balance Counseling Llc 110 W Linden Dr Ste B Jefferson WI 53549-1491 Ph: (920) 674-5050 | Restoring Balance Counseling Llc 110 W Linden Dr Ste B Jefferson WI 53549-1491 Ph: (920) 674-5050 |
| NPI Number | 1528556404 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528556404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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