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Organization
RAEANN WICHLACZ
Active
Organization
RAEANN WICHLACZ
Active
Other names
Courage To Change Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAEANN WICHLACZ CADC III (OWNER)
(715) 223-0480
Entity
Organization
Contact information
Practice address
106 GALVIN ROAD, ABBOTSFORD, WI 54405
(715) 223-0480
(715) 223-1611
Mailing address
PO BOX 447, 106 GALVIN ROAD, ABBOTSFORD, WI 54405
(715) 223-0480
(715) 223-1611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42215300
—
WI
Enumeration date
11/30/2005
Last updated
06/13/2008
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