Individual
EVANGELINE M SUQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, CSAC, LPC, CSIT
Contact information
Practice address
W9850 AIRPORT ROAD, BLACK RIVER FALLS, WI 54615
(715) 284-9851
(715) 284-3434
Mailing address
PO BOX 918, W9850 AIRPORT ROAD, BLACK RIVER FALLS, WI 54615
(715) 284-9851
(715) 284-3434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15705-132
WI
101YM0800X
Mental Health Counselor
5231-125
WI
Other
Enumeration date
03/05/2009
Last updated
10/20/2016
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