Individual
ANN ELIZABETH VANLANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC,SW
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7289
Mailing address
PO BOX 23400, GREEN BAY, WI 54305-3400
(920) 445-7226
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1487-132
WV
104100000X
Social Worker
Primary
6473-120
WI
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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