Individual
LINDA SOULAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, CT-IT
Contact information
Practice address
W201N16659 HEMLOCK ST APT 3, JACKSON, WI 53037-9437
(920) 858-9848
Mailing address
W201N16659 HEMLOCK ST APT 3, JACKSON, WI 53037-9437
(920) 858-9848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16441
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17050
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659877843
—
WI
Enumeration date
04/05/2018
Last updated
07/31/2023
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