Individual provider · Type 1 NPI
Michelle R. Haese, CAPSW, CSAC
Addiction (Substance Use Disorder) Counselor · Plymouth, WI
NPI number
1679808935
Active
Practice location
W9071 Forest Dr
Plymouth, WI 53073-0031
Mailing address
P.o. Box 31, W9071 Forest Dr
Plymouth, WI 53073-0031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15615-130 (WI) |
| Social Worker | 104100000X | 128008-121 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Plymouth
About NPI 1679808935
Michelle R. Haese, CAPSW, CSAC's National Provider Identifier is 1679808935, issued on Oct 5, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, WI. The record was last updated on Dec 9, 2013.