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Individual

TRENTON ESTANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SAC-IT

Contact information

Practice address
424 S MONROE AVE STE 201, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174
Mailing address
424 S MONROE AVE STE 201, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18333-130
WI

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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