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Ainsley E Blum, LPC,SAC-IT
Professional Counselor in Green Bay, Wisconsin
NPI 1811308836

Ainsley E Blum is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Ainsley E Blum practices in Green Bay, WI and has the professional credentials of LPC,SAC-IT. The NPI Number for Ainsley E Blum is 1811308836 and holds a License No. 16259 (Wisconsin).

The current practice location address for Ainsley E Blum is 301 E Saint Joseph St, Green Bay, WI and can be reached out via phone at 920-433-6073 and via fax at 920-431-0333.

Location: 301 E Saint Joseph St, Green Bay, WI, 54305-2040
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Provider Profile Details
NPI Number
1811308836
Provider Name
Ainsley E Blum
Credential
LPC,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
301 E Saint Joseph St, Green Bay, WI, 54305-2040
Phone Number
920-433-6073
Fax Number
920-431-0333
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100037900 05 WI
institution
Provider Business Practice Location Address Details
Address
301 E Saint Joseph St
City
State
Zip
54301-2241
Phone Number
920-433-6073
Fax Number
920-431-0333
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Provider Business Mailing Address Details
Address
301 E Saint Joseph St
City
State
Zip
54301-2241
Phone Number
920-433-6073
Fax Number
920-431-0333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5863-125 (Wisconsin)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16259 (Wisconsin)
Definition
Definition to come...
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