Individual
SAMANTHA YAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, SAC-IT
Contact information
Practice address
300 FEMRITE DR, MONONA, WI 53716-3798
(608) 222-7311
Mailing address
300 FEMRITE DR, MONONA, WI 53716-3798
(608) 222-7311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19584
WI
101YM0800X
Mental Health Counselor
19584
WI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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