Individual
MISS JANET LYNN VERTHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC, PS
Contact information
Practice address
9532 E 16 FRONTAGE RD, ONALASKA, WI 54650-6739
(608) 783-0506
Mailing address
W7883 AMSTEL CT, HOLMEN, WI 54636-7800
(608) 386-7894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15345-137
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15802-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15803-131
WI
Other
Enumeration date
07/31/2013
Last updated
08/12/2013
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