Individual
ERMELIO D FERRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
151 E BADGER RD, MADISON, WI 53713-2725
(608) 250-2512
Mailing address
151 E BADGER RD, MADISON, WI 53713-2725
(608) 250-2512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19422
WI
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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