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Individual

JEFFREY P REILAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-2287
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-2287

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
1391
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39615800
WI
Enumeration date
06/21/2005
Last updated
08/18/2025
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