Individual
LINDA M STOFFEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CADCIII IDP AT
Contact information
Practice address
221 W MADISON STREET, EAU CLAIRE, WI 54703
(715) 832-5454
(715) 832-2991
Mailing address
221 W MADISON STREET, EAU CLAIRE, WI 54703
(715) 832-5454
(715) 832-2991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2090
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39373100
—
WI
01
—
59437
SECURITY HEALTH PLAN
WI
01
—
637871035302
PREFERRED ONE
MN
Enumeration date
05/03/2006
Last updated
07/08/2007
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