Individual
WENDY LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCIII
Contact information
Practice address
533 PEACE PIPE RD, LAC DU FLAMBEAU, WI 54538
(715) 588-1511
(715) 588-3903
Mailing address
PO BOX 189, 533 PEACE PIPE RD, LAC DU FLAMBEAU, WI 54538-0189
(715) 588-1511
(715) 588-3903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WCB 1613
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WCB1613
AODA COUNSELOR
WI
Enumeration date
02/02/2007
Last updated
07/08/2007
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