Individual
LINDA L SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6508
(608) 741-6918
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6508
(608) 741-6918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15450131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15480-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679890347
—
WI
Enumeration date
04/21/2010
Last updated
01/08/2015
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