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Individual

TONI SIMONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, SAC

Contact information

Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12122
WI
101YP2500X
Professional Counselor
Primary
2963-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12122
STATE LICENSE
WI
01
2963-125
STATE LICENSE
WI
Enumeration date
08/28/2006
Last updated
04/15/2013
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