Individual provider · Type 1 NPI

Jodie Tirado

Addiction (Substance Use Disorder) Counselor · Black River Falls, WI

NPI number 1174909378 Active

Practice location

W9850 Airport Rd.
Black River Falls, WI 54615-0918

Call (715) 284-9851 Map

Mailing address

PO Box 918
Black River Falls, WI 54615-0918

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17348-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174909378

Jodie Tirado's National Provider Identifier is 1174909378, issued on Aug 11, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Black River Falls, WI. The record was last updated on Aug 11, 2015.