Individual provider · Type 1 NPI
Aleta Avis Yellow Thunder, BA, SACIT
Addiction (Substance Use Disorder) Counselor · Wittenberg, WI
NPI number
1689981912
Active
Practice location
N7240 US Highway 45
Wittenberg, WI 54499-8567
Fax (715) 253-2897
Mailing address
PO Box 247
Wittenberg, WI 54499-0247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13680-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1689981912
Aleta Avis Yellow Thunder, BA, SACIT's National Provider Identifier is 1689981912, issued on Sep 8, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wittenberg, WI. The record was last updated on Sep 8, 2010.