Healthcare Provider Details

I. General information

NPI: 1962335414
Provider Name (Legal Business Name): ABC COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 ROSS AVE STE 107
SCHOFIELD WI
54476-6110
US

IV. Provider business mailing address

219 ROSS AVE STE 107
SCHOFIELD WI
54476-6110
US

V. Phone/Fax

Practice location:
  • Phone: 715-301-6576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AIMEE BUDLESKI
Title or Position: LPC
Credential: LPC
Phone: 715-301-6576