Individual
MICKEY D ROCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N3152 STATE ROAD 81, MONROE, WI 53566-9397
(608) 328-9307
Mailing address
N3152 STATE ROAD 81, MONROE, WI 53566-9397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14814-131
WI
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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