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Individual
TRISTAN ALBERT ERTMAN
Active
Individual
TRISTAN ALBERT ERTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19029-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-1566338
PATHWAYS TO A BETTER LIFE
WI
Enumeration date
03/31/2021
Last updated
03/31/2021
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