Individual
VANESSA BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSCJ, SAC-IT
Contact information
Practice address
333 E WASHINGTON ST STE 2100, WEST BEND, WI 53095-2503
(262) 335-4600
Mailing address
333 E WASHINGTON ST STE 2100, WEST BEND, WI 53095-2503
(262) 335-4600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18516-130
WI
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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