Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1083117998 |
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| LBN Legal business name | PEAK WELLNESS COUNSELING SERVICE, LLC | ||||
| Authorized official | KATHERINE SMUTKA - (OWNER/SOLE PROPRIETOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/16/2018 | ||||
| Last updated | 03/23/2018 - About 8 years ago | ||||
| Identifiers |
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