Individual
CHEYLENE T SCHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2702 INTERNATIONAL LN STE 102, MADISON, WI 53704-3117
(608) 280-2636
Mailing address
2702 INTERNATIONAL LN STE 102, MADISON, WI 53704-3117
(608) 405-5712
(608) 405-5716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7343
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083070080
—
WI
Enumeration date
01/06/2016
Last updated
11/23/2020
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