Individual provider · Type 1 NPI

Annette Pauline Latender, CSAC

Addiction (Substance Use Disorder) Counselor · Gresham, WI

NPI number 1487829883 Active

Practice location

N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602

Fax (715) 799-3836

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15188 (WI)

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

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About NPI 1487829883

Annette Pauline Latender, CSAC's National Provider Identifier is 1487829883, issued on Apr 25, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, WI. The record was last updated on Apr 25, 2008.