Individual provider · Type 1 NPI
Jane A. Williquette, CADCIII, CCSII
Substance Use Disorder Rehabilitation Clinic/Center · Oshkosh, WI
NPI number
1104962380
Active
Practice location
915 Viola Ave
Oshkosh, WI 54901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | #1421 (WI) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1104962380
Jane A. Williquette, CADCIII, CCSII's National Provider Identifier is 1104962380, issued on Jan 29, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Oshkosh, WI. The record was last updated on Jul 8, 2007.