Individual
JULIA PERSIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SAC
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2700
Mailing address
503 HILLVIEW ST, LODI, WI 53555-1059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/05/2012
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