Individual
VICKI HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, ICS
Contact information
Practice address
9532 E 16 FRONTAGE RD, ONALASKA, WI 54650-6739
(608) 783-0506
(608) 783-0242
Mailing address
9532 E 16 FRONTAGE RD, ONALASKA, WI 54650-6739
(608) 783-0506
(608) 783-0242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15623-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003150004
—
WI
Enumeration date
07/06/2021
Last updated
07/06/2021
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