Individual
MISS JACKIE L MORETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT, BS
Contact information
Practice address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 242-1166
Mailing address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 242-0220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19266-130
WI
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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