Individual
CHERI L WOTNOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Mailing address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13939
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39169000
—
WI
Enumeration date
03/07/2006
Last updated
10/23/2008
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