Individual
JUSTIN DEAN WAHL ADAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
2801 CALUMET DRIVE, SHEBOYGAN, WI 53083
(951) 218-0403
Mailing address
1100 S IRISH RD APT 7, CHILTON, WI 53014-1273
(951) 218-0403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20789-130
WI
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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