Individual
PAUL NELSON ROADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15905-132
WI
1041C0700X
Clinical Social Worker
Primary
8702-123
WI
Other
Enumeration date
05/02/2016
Last updated
11/20/2019
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