Individual
CHRISTOPHER SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 E GREEN BAY ST STE 101, SHAWANO, WI 54166-2500
(715) 201-0361
Mailing address
420 E GREEN BAY ST STE 101, SHAWANO, WI 54166-2500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20542-130
WI
101YM0800X
Mental Health Counselor
Primary
8331-226
WI
Other
Enumeration date
04/11/2024
Last updated
02/18/2025
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