Individual
GARY P EHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, ICS
Contact information
Practice address
100 POLK COUNTY PLZ STE 50, BALSAM LAKE, WI 54810-9097
(715) 485-8879
Mailing address
819 ASH ST STE OS2O, SPOONER, WI 54801-1201
(715) 939-1248
(715) 939-1248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11506 135
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1819 132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044866
PREFERREDONE INS
WI
01
—
256704
MHN HMC INSURANCE
WI
05
—
39355100
—
WI
Enumeration date
04/11/2007
Last updated
09/12/2018
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