Individual
MS. KAY ELLEN SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC-ICS, SAP, IDP-A
Contact information
Practice address
449 HITCHCOCK ST, BARABOO, WI 53913-2876
(608) 355-4106
Mailing address
823 W PLEASANT ST, PORTAGE, WI 53901-1927
(608) 742-2280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1842 AND 111859
WI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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