Individual
MS. JEAN A DAUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC CSAC ICS MAC
Contact information
Practice address
135 W MAIN ST, SUITE 207, STOUGHTON, WI 53589-2100
(608) 873-7838
(877) 674-2177
Mailing address
135 W MAIN ST, SUITE 207, STOUGHTON, WI 53589-2100
(608) 873-7838
(877) 674-2177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1453
WI
101YP2500X
Professional Counselor
3118-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39335400
—
WI
Enumeration date
02/24/2006
Last updated
07/02/2012
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