Individual
MRS. AMANDA JO REIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT, SWTC
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
(608) 355-4299
Mailing address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
(608) 355-4299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20618130
WI
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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