Individual provider · Type 1 NPI
Jerry W. Sample, CADC
Addiction (Substance Use Disorder) Counselor · La Crosse, WI
NPI number
1508806001
Active
Practice location
1910 South Ave
La Crosse, WI 54601-5467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11750 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in La Crosse
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- Deborah StelmachAddiction (Substance Use Disorder) Counselor La Crosse, WI NPI 1013326651
- Casey John Bablitch, B.S., CSACAddiction (Substance Use Disorder) Counselor La Crosse, WI NPI 1023346657
- Katlyn C. Becker, CSACAddiction (Substance Use Disorder) Counselor La Crosse, WI NPI 1043843048
- Tyler S. Bluske, SAC-ITAddiction (Substance Use Disorder) Counselor La Crosse, WI NPI 1114600640
- Kionna JacobsAddiction (Substance Use Disorder) Counselor La Crosse, WI NPI 1134917016
- Joella StriebelAddiction (Substance Use Disorder) Counselor La Crosse, WI NPI 1144634189
- Kelly Neve, CSACAddiction (Substance Use Disorder) Counselor La Crosse, WI NPI 1194192930
About NPI 1508806001
Jerry W. Sample, CADC's National Provider Identifier is 1508806001, issued on Jun 7, 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 Jul 8, 2007.