Individual
CARRIE B ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,SAC
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
(920) 437-0533
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18174-130
WI
1041C0700X
Clinical Social Worker
Primary
8579-123
WI
Other
Enumeration date
02/25/2014
Last updated
09/16/2019
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