Individual
LINDA WUESTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
802 E GORHAM ST, MADISON, WI 53703-1524
(608) 280-2700
Mailing address
25 KESSEL CT, STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2021
WI
1041C0700X
Clinical Social Worker
Primary
4284
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39379300
—
WI
Enumeration date
04/25/2007
Last updated
09/15/2016
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