Individual provider · Type 1 NPI

Shirley Wortham

Professional Counselor · Monroe, WI

NPI number 1710418314 Active

Practice location

N3152 State Road 81
Monroe, WI 53566-9397

Call (608) 328-9393 Map

Fax (608) 328-9480

Other practice locations

  • 2240 Prairie Ave, Beloit, WI 53511-2648 · (608) 361-7200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X281728 (WI)
Professional Counselor Primary 101YP2500X2817-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1710418314

Shirley Wortham's National Provider Identifier is 1710418314, issued on Mar 24, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Monroe, WI. The record was last updated on Jul 26, 2024.