| Sole 2 Soul, Llc | |
|
2400 S Kensington Dr Ste 400 Appleton WI 54915-4187 | |
| (920) 358-0344 | |
| Not Available |
| Full Name | Sole 2 Soul, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2400 S Kensington Dr Ste 400, Appleton, Wisconsin |
| Authorized Official Name and Position | Katherine Jensen (OWNER) |
| Authorized Official Contact | 9203580344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sole 2 Soul, Llc 2400 S Kensington Dr Ste 400 Appleton WI 54915-4187 Ph: () - | Sole 2 Soul, Llc 2400 S Kensington Dr Ste 400 Appleton WI 54915-4187 Ph: (920) 358-0344 |
| NPI Number | 1699360826 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699360826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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