Individual
JONATHAN SABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
9532 E 16 FRONTAGE RD, SUITE 100, ONALASKA, WI 54650-6739
(608) 783-0506
(608) 783-0242
Mailing address
9532 E 16 FRONTAGE RD, SUITE 100, ONALASKA, WI 54650-6739
(608) 783-0506
(608) 783-0242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15791132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15791132
—
WI
Enumeration date
05/28/2014
Last updated
06/10/2014
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