Individual
MENISSA RITA POWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 355-9588
Mailing address
2041 VIKING DR, REEDSBURG, WI 53959-8900
(608) 355-1240
(608) 355-9588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20718-130
WI
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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