Individual
CHRIS E HARTLEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC - IDP/AT
Contact information
Practice address
705 E TIMBER DR, RHINELANDER, WI 54501-2859
(715) 369-2215
(715) 369-2214
Mailing address
10163 BLUE LAKE RD, MINOCQUA, WI 54548-9045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1472-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39339600
—
WI
Enumeration date
03/20/2008
Last updated
03/20/2008
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