Individual
STEPHANIE ISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701-7698
(800) 380-8273
Mailing address
3440 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
160217
WI
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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