Individual
BETTIE JO ILENE INGMAN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
705 E TIMBER DR, RHINELANDER, WI 54501-2859
(715) 369-2215
(715) 369-2214
Mailing address
PO BOX 897, RHINELANDER, WI 54501-0897
(715) 369-2215
(715) 369-2214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YAD4DDX
COUNSELOR-ADDICTION (SUBSTANCE USE DISORDER)
WI
Enumeration date
02/15/2023
Last updated
02/15/2023
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