Organization · Type 2 NPI
Passageway, Inc. Frs-Tr
Professional Counselor · Janesville, WI
NPI number
1821398736
Active
Practice location
3246 W Rollingwood Dr
Janesville, WI 53545-9030
Fax (608) 563-4122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15139-132 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15375-135 (WI) |
| Professional Counselor Primary | 101YP2500X | 2864-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1821398736
Passageway, Inc. Frs-Tr's National Provider Identifier is 1821398736, issued on Oct 25, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Janesville, WI. The record was last updated on Jan 25, 2017.