Individual
STAR AMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
Mailing address
9009 CAROTHERS PKWY STE C1, FRANKLIN, TN 37067-1704
(615) 538-7739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20710
WI
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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