Individual
TRISTA HOLLY RAYCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
106 GALVIN RD, ABBOTSFORD, WI 54405
(715) 223-0480
Mailing address
W8843 MANN RD, WILLARD, WI 54493-8733
(715) 937-5688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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