Individual
MICHAEL JOHN FOLEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8800
(715) 421-2266
Mailing address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8800
(715) 421-2266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16346-132
WI
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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