Individual
JEFFREY A AHONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
108 W 2ND ST N, LADYSMITH, WI 54848-1338
(715) 532-9771
(715) 532-9774
Mailing address
PO BOX 68, MENOMONIE, WI 54751-0068
(715) 235-4696
(715) 235-3941
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17756-130
WI
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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