Raeann Wichlacz in Abbotsford - Addiction (substance Use Disorder)
Raeann Wichlacz - NPI 1942253315
Raeann Wichlacz is a Addiction (substance Use Disorder) in Abbotsford, Wisconsin. Raeann Wichlacz practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Raeann Wichlacz is 1942253315. The last update date is 2007-07-09.
Raeann Wichlacz's current location address is 106 Galvin Road, Abbotsford, Wisconsin. You can contact this provider via phone number 1752230480 and fax number 7152231611. The mailing address for Raeann Wichlacz is 106 Galvin Road, Abbotsford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raeann Wichlacz |
|---|---|
| Address | 106 Galvin Road, Abbotsford, Wisconsin |
| Phone Number | 1752230480 |
| Fax Number | 7152231611 |
| Sole Proprietor | X |
| Credentials | CADC III |
NPI Number Detail
| NPI Number | 1942253315 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 106 Galvin Road |
|---|---|
| City | Abbotsford |
| State | Wisconsin (WI) |
| Post Code | 54405 |
| Phone Number | 1752230480 |
| Fax Number | 7152231611 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 11042 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39380400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Raeann Wichlacz?
The Raeann Wichlacz has been issued the NPI (National Provider Identifier) 1942253315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Raeann Wichlacz is physically located?
The Raeann Wichlacz is physically situated at the following address: 106 Galvin Road, Abbotsford, WI, 54405.
What is Raeann Wichlacz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Raeann Wichlacz is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Raeann Wichlacz receive its 1942253315 assignment from the Centers for Medicare & Medicaid Services?
The Raeann Wichlacz was assigned its 1942253315 by the Centers for Medicare & Medicaid Services on 2006-05-18.
As of what date was the information regarding Raeann Wichlacz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Raeann Wichlacz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.