Individual
ELYSE ALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 W COLLEGE AVE, APPLETON, WI 54914-5286
(920) 225-1713
(920) 733-7321
Mailing address
820 W COLLEGE AVE, APPLETON, WI 54914-5286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16969-130
WI
101YP2500X
Professional Counselor
1879-226
WI
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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