Individual
MS. ATHENA Z BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2000 N OXFORD AVE, SUITE 2, EAU CLAIRE, WI 54703-5184
(715) 834-1078
Mailing address
2000 N OXFORD AVE, SUITE 2, EAU CLAIRE, WI 54703-5184
(715) 834-1078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15136-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15136-132
LICENSE
WI
Enumeration date
03/29/2011
Last updated
03/29/2011
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