Individual
MR. JEFFREY A SMISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC III
Contact information
Practice address
211 EAU CLAIRE ST, EAU CLAIRE, WI 54701-3662
(715) 855-1373
(715) 855-1375
Mailing address
1320 W CLAIREMONT AVE, STE 200, EAU CLAIRE, WI 54701-4566
(715) 834-2046
(715) 834-7563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14255
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39170300
—
WI
Enumeration date
11/14/2006
Last updated
07/08/2007
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