Individual
MICHAEL F PINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
1009 EGG HARBOR RD, #120, STURGEON BAY, WI 54235
(920) 743-9889
Mailing address
1009 EGG HARBOR RD, #120, STURGEON BAY, WI 54235
(920) 743-9889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12166
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39171900
—
WI
Enumeration date
04/23/2007
Last updated
07/08/2007
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