Individual
JACOB LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 MAIN ST STE 301, LA CROSSE, WI 54601-4099
(608) 519-5906
Mailing address
444 MAIN ST STE 301, LA CROSSE, WI 54601-4099
(608) 519-5906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21086-130
WI
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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