Individual
SARA JANE ALLEE-JATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, CSIT, SAP
Contact information
Practice address
1955 W BROADWAY, MONONA, WI 53713-3700
(646) 750-5416
Mailing address
1955 W BROADWAY, MONONA, WI 53713-3700
(646) 750-5416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16292-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076669
—
WI
Enumeration date
03/06/2017
Last updated
11/14/2023
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