Individual
MARY B RODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, ICS
Contact information
Practice address
127 W CENTRAL ST, CHIPPEWA FALLS, WI 54729-2346
(715) 726-9023
Mailing address
127 W CENTRAL ST, CHIPPEWA FALLS, WI 54729-2346
(715) 726-9023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15580-132
WI
Other
Enumeration date
08/16/2013
Last updated
12/07/2020
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