NPI | 1255104212 |
---|---|
Former Legal Business Name | NEW SEASONS COUNSELING, PLLC |
Entity Type | Organization |
Authorized Contact | KELSEY LEIGH QUADE Owner 618-920-2876 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2023-11-01 |
Last Update Date | 2024-09-12 |