Individual provider · Type 1 NPI
Kelly Jean Teachout, CSAC
Addiction (Substance Use Disorder) Counselor · La Crosse, WI
NPI number
1487959912
Active
Practice location
313 4th St S
La Crosse, WI 54601-4047
Mailing address
166 Main St
Winona, MN 55987-6442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15541-132 (WI) |
| Clinical Social Worker | 1041C0700X | 8187 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1487959912
Kelly Jean Teachout, CSAC's National Provider Identifier is 1487959912, issued on Jan 13, 2011. 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 Jun 20, 2016.