Individual
ASHLEY MEGAN RETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS SAC-IT
Contact information
Practice address
1654 WASHINGTON AVE, RACINE, WI 53403-2047
(262) 633-5001
(262) 633-2928
Mailing address
1654 WASHINGTON AVE, RACINE, WI 53403-2047
(262) 633-5001
(262) 633-2928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15819-130
WI
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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