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Individual

JAY CHRISTOPHER GIANCOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC III

Contact information

Practice address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Mailing address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11701
WI

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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