Individual
QUINTON RICHARD WEDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
2914 INDUSTRIAL DR, MADISON, WI 53713-4047
(608) 223-3311
(608) 204-8585
Mailing address
328 ALPINE MEADOW CIR, OREGON, WI 53575-3832
(608) 206-7804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16291
WI
101YM0800X
Mental Health Counselor
16291
WI
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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