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Individual
MICHAEL L FERNETTE
Active
Individual
MICHAEL L FERNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1839
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10705
DEAN HEALTH PLANS
WI
01
—
39396100
HIRSP
WI
05
—
39396100
—
WI
Enumeration date
07/05/2006
Last updated
07/07/2008
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