Individual
LAURA SUMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, NCC, SAC-IT
Contact information
Practice address
1334 APPLEGATE RD, SUITE 101, MADISON, WI 53713-3184
(608) 221-1500
(608) 221-1515
Mailing address
1334 APPLEGATE RD, SUITE 101, MADISON, WI 53713-3184
(608) 221-1500
(608) 221-1515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16278-130
WI
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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