Individual
ASHLEY WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 845-3637
Mailing address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 845-3637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18481
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487811204
—
WI
Enumeration date
04/30/2018
Last updated
04/30/2018
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