Individual
SHERRY L MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11500
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39167800
—
WI
Enumeration date
06/07/2006
Last updated
07/08/2007
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