Individual
SANDRA J. PRINCIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC, PS
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Mailing address
620 PRENTICE AVE, ASHLAND, WI 54806-3343
(715) 682-6130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11556-137
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15183-131
WI
Other
Enumeration date
03/30/2007
Last updated
09/24/2009
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