Individual
MARLA D RHOADS-ETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
CSAC
Contact information
Practice address
N5308 LOCUST RD, SHAWANO, WI 54166-6035
(715) 853-3829
Mailing address
N5308 LOCUST RD, SHAWANO, WI 54166-6035
(715) 853-3829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1891-132
WI
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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