Individual
SUSAN JEAN COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, ICS
Contact information
Practice address
319 MAIN ST STE 302, LA CROSSE, WI 54601-0707
(608) 796-0987
(608) 796-1944
Mailing address
1046 SCHAFER DR, ONALASKA, WI 54650-3027
(108) 781-5225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10813-132
WI
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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