Individual
MS. BERNADETTE ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SACIT
Contact information
Practice address
88385 PIKE RD, BAYFIELD, WI 54814-4818
(715) 779-3741
(715) 779-3765
Mailing address
37390 N BRADUM RD, BAYFIELD, WI 54814-4832
(715) 779-3741
(715) 779-3765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15838-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42128500
—
WI
Enumeration date
11/05/2009
Last updated
11/05/2009
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