Organization · Type 2 NPI

Raeann Wichlacz

Addiction (Substance Use Disorder) Counselor · Abbotsford, WI

NPI number 1508840992 Active

Practice location

106 Galvin Road
Abbotsford, WI 54405

Fax (715) 223-1611

Mailing address

PO Box 447, 106 Galvin Road
Abbotsford, WI 54405

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11042 (WI)

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

4 other providers at this address

About NPI 1508840992

Raeann Wichlacz's National Provider Identifier is 1508840992, issued on Nov 30, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Abbotsford, WI. The record was last updated on Jun 13, 2008.