Individual
NATHAN CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
321 FRENETTE DR STE C, CHIPPEWA FALLS, WI 54729-3467
(715) 861-5427
Mailing address
PO BOX 68, MENOMONIE, WI 54751-0068
(715) 635-4858
(715) 235-2688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19690-130
WI
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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