Individual
STACY S ROHLEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 W LOOMIS RD APT 120, GREENFIELD, WI 53221-2006
(414) 424-2445
(414) 424-2446
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19339-130
WI
101YM0800X
Mental Health Counselor
Primary
5308
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NONE
WI
Enumeration date
09/08/2021
Last updated
06/13/2025
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