person
Mr. Charles D Lipford, CSAC
Addiction (Substance Use Disorder) Counselor in Mauston, Wisconsin
NPI 1003079708

Charles D Lipford is an Addiction (Substance Use Disorder) Counselor based in Mauston, WI and is specialized in Addiction (Substance Use Disorder). Charles D Lipford practices in Mauston, WI and has the professional credentials of CSAC. The NPI Number for Charles D Lipford is 1003079708 and holds a License No. 302375 (Wisconsin).

The current practice location address for Charles D Lipford is 220 E La Crosse St., Mauston, WI and can be reached out via phone at 608-847-2400 and via fax at 608-847-9599.

Location: 220 E La Crosse St., Mauston, WI, 53948-2101
person
Provider Profile Details
NPI Number
1003079708
Provider Name
Charles D Lipford
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
220 E La Crosse St., Mauston, WI, 53948-2101
Phone Number
608-847-2400
Fax Number
608-847-9599
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003079708 05 WI
institution
Provider Business Practice Location Address Details
Address
220 E La Crosse St.
City
State
Zip
53948-2101
Phone Number
608-847-2400
Fax Number
608-847-9599
person
Provider Business Mailing Address Details
Address
220 E La Crosse St.
City
State
Zip
53948-2101
Phone Number
608-847-2400
Fax Number
608-847-9599
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302375 (Minnesota)
Definition
Definition to come...
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