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Individual

MISS ALISHA MARIE BLISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC, LADC

Contact information

Practice address
1507 TOWER AVE, SUITE 307, SUPERIOR, WI 54880-2532
(715) 392-9300
(715) 392-8041
Mailing address
1507 TOWER AVE, SUITE 307, SUPERIOR, WI 54880-2532
(715) 392-9300
(715) 392-8041

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13428-0130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
MN

Other

Enumeration date
10/21/2009
Last updated
10/21/2009
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