Individual provider · Type 1 NPI

Charles Anthony Doram, CSAC

Addiction (Substance Use Disorder) Counselor · Monona, WI

NPI number 1346494895 Active

Practice location

2829 Royal Ave
Monona, WI 53713-1535

Fax (608) 661-0907

Mailing address

2829 Royal Ave Ste 200
Monona, WI 53713-1535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X312574 (WI)

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

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About NPI 1346494895

Charles Anthony Doram, CSAC's National Provider Identifier is 1346494895, issued on Nov 11, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monona, WI. The record was last updated on Nov 12, 2008.