institution
Growing Oak Llc
Professional Counselor in Ripon, Wisconsin
NPI 1306195276

Growing Oak Llc is a Professional Counselor based in Ripon, WI and is specialized in Professional. Growing Oak Llc practices in Ripon, WI. The NPI Number for Growing Oak Llc is 1306195276 and holds a License No. 4622-125 (Wisconsin).

The current practice location address for Growing Oak Llc is 112 Watson St, Ripon, WI and can be reached out via phone at 920-896-0189 and via fax at 920-694-3021.

Location: 112 Watson St, Ripon, WI, 54971-1327
institution
Provider Profile Details
NPI Number
1306195276
Provider Name
Growing Oak Llc
Credential
Provider Entity Type
Organization
Address
112 Watson St, Ripon, WI, 54971-1327
Phone Number
920-896-0189
Fax Number
920-694-3021
Provider Enumeration Date
09/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235417593 01 INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
112 Watson St
City
State
Zip
54971-1327
Phone Number
920-896-0189
Fax Number
920-694-3021
person
Provider Business Mailing Address Details
Address
112 Watson St
City
State
Zip
54971-1327
Phone Number
920-896-0189
Fax Number
920-694-3021
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4622-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4622-125 (Wisconsin)
Definition
Definition to come...
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