Individual
MR. ANTHONY FRANCIS WERTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
101 FALLS RD STE 326, GRAFTON, WI 53024-2612
(262) 421-8980
(262) 421-8971
Mailing address
101 FALLS RD STE 326, GRAFTON, WI 53024-2612
(262) 421-8980
(262) 421-8971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12125
WI
101YP2500X
Professional Counselor
2700-125
WI
101YP2500X
Professional Counselor
Primary
2700125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39779300
—
WI
Enumeration date
09/15/2006
Last updated
09/06/2023
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