Individual provider · Type 1 NPI
Teri McDougle, CSAC, ICS
Addiction (Substance Use Disorder) Counselor · La Crosse, WI
NPI number
1306902747
Active
Practice location
4647 Mormon Coulee Rd
La Crosse, WI 54601-8225
Fax (608) 519-3083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1540-132 (WY) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12192-134 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1306902747
Teri McDougle, CSAC, ICS's National Provider Identifier is 1306902747, issued on Dec 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Crosse, WI. The record was last updated on Aug 15, 2012.