Growing Oak LLC

NPI #1306195276 in Ripon, Wisconsin

Provider Information

NPI Number: 1306195276
Entity Type: Organization
Organization Name: Growing Oak LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 6, 2012
Last Updated: Sep 6, 2012

Practice Location

Address: 112 WATSON ST
City: Ripon
State: Wisconsin
ZIP Code: 54971-1327
Phone: (920) 896-0189

Authorized Official

Name: LINDSAY LOEWE, LPC
Title: MENTAL HEALTH & SUBSTANCE ABUSE
Phone: (608) 469-1753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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