Individual provider · Type 1 NPI
Shelly Lynn Dutch, CSAC, ICS
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1669678512
Active
Practice location
1334 Applegate Rd, Suite 101
Madison, WI 53713-3184
Fax (608) 221-1515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1047-132 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Paul Flahavan, CO, CPEDOrthotist Madison, WI NPI 1194266676
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About NPI 1669678512
Shelly Lynn Dutch, CSAC, ICS's National Provider Identifier is 1669678512, issued on Jun 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Jul 8, 2007.