Individual
JUSTIN TYSON ROONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
9532 E 16 FRONTAGE RD, SUITE 100, ONALASKA, WI 54650-6739
(608) 783-0506
(608) 783-0242
Mailing address
W6779 ABBEY RD, ONALASKA, WI 54650-9273
(608) 433-6749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15189-132
WI
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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