Individual
JORGE SOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NONE
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2700
Mailing address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1931
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39361000
—
WI
Enumeration date
04/25/2007
Last updated
07/08/2007
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