Individual provider · Type 1 NPI
Pauline E. Ortloff, BS, CSAC, ICS
Addiction (Substance Use Disorder) Counselor · Racine, WI
NPI number
1639608698
Active
Practice location
1717 Taylor Avenue
Racine, WI 53403
Fax (262) 638-6540
Mailing address
13922 Wilmot Rd
Kenosha, WI 53142-7924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10709-132 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639608698
Pauline E. Ortloff, BS, CSAC, ICS's National Provider Identifier is 1639608698, issued on Jun 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Jun 5, 2017.