Individual
CHESTER MARCOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 498-8600
(920) 496-2027
Mailing address
1701 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 498-8600
(920) 496-2027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15986
WI
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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