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Individual

MARK D. HOLLOWITSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSAC

Contact information

Practice address
212 11TH STREET S., LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 785-0002
Mailing address
212 11TH STREET S., LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 785-0002

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1631
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
1631-132
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39380200
WI
Enumeration date
06/08/2006
Last updated
12/20/2011
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