Individual
MS. SUSAN JOHANNA BELANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC III, CCS II
Contact information
Practice address
209B W WASHINGTON ST, WAUSAU, WI 54403-5443
(715) 845-3637
(715) 845-1977
Mailing address
902 N 16TH AVE, WAUSAU, WI 54401-2879
(715) 298-1437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1414
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39350000
—
WI
Enumeration date
02/06/2007
Last updated
07/09/2007
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