Individual
JILL ROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0611
Mailing address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19485
WI
Other
Enumeration date
02/09/2024
Last updated
12/29/2025
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