Individual
ANNTIONETTE M FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991
Mailing address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NA
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39374200
—
WI
01
—
56001
SECURITY HEALTH PLAN
WI
01
—
637871032291
PREFERRED ONE
MN
Enumeration date
05/03/2006
Last updated
05/22/2008
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