Individual
MR. EDWARD JOHN JAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
611 SAINT JOSEPH AVE, ALCOHOL & DRUG RECOVERY SERVICES, MARSHFIELD, WI 54449-1832
(715) 387-9705
Mailing address
611 SAINT JOSEPH AVE, ALCOHOL & DRUG RECOVERY SERVICES, MARSHFIELD, WI 54449-1832
(715) 387-9705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15765-130
WI
Other
Enumeration date
01/28/2010
Last updated
05/04/2011
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