Individual
MR. TIMOTHY J FALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Mailing address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
3699-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12747
CADC WISCONSIN CERT. BD.
WI
05
—
39614400
—
WI
Enumeration date
02/12/2007
Last updated
09/11/2025
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