Individual
ERIK LEE BOTTLEMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
1905 S CENTRAL AVE, MARSHFIELD, WI 54449-4917
(715) 898-1665
Mailing address
1905 S CENTRAL AVE, MARSHFIELD, WI 54449-4917
(715) 898-1665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20485-130
WI
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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