Individual
MARIA PLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
926 S 8TH ST, MANITOWOC, WI 54220-4535
(920) 683-4230
(920) 683-4908
Mailing address
PO BOX 1177, MANITOWOC, WI 54221-1177
(920) 683-4230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16394-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16551-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
18586130
WI
1041C0700X
Clinical Social Worker
Primary
132334-121
WI
Other
Enumeration date
07/03/2019
Last updated
08/23/2022
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