Individual
STEPHANIE S KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
151 E BADGER RD STE A, FITCHBURG, WI 53713-2726
(608) 250-2512
Mailing address
30 S WALBRIDGE AVE, MADISON, WI 53714-1946
(920) 522-3377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20161-130
WI
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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