Individual
MISS KELLY NEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15922-132
WI
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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