person
Lori Anne Decarlo-kienitz, CSAC
Addiction (Substance Use Disorder) Counselor in Ashland, Wisconsin
NPI 1023138112

Lori Anne Decarlo-kienitz is an Addiction (Substance Use Disorder) Counselor based in Ironwood, WI and is specialized in Addiction (Substance Use Disorder). Lori Anne Decarlo-kienitz practices in Ashland, WI and has the professional credentials of CSAC. The NPI Number for Lori Anne Decarlo-kienitz is 1023138112 and holds a License No. 14014-132 (Wisconsin).

The current practice location address for Lori Anne Decarlo-kienitz is 502 Main St W Ste 305, Ashland, WI and can be reached out via phone at 715-682-5207 and via fax at 715-682-5209.

Location: 502 Main St W Ste 305, Ashland, WI, 49938-2823
person
Provider Profile Details
NPI Number
1023138112
Provider Name
Lori Anne Decarlo-kienitz
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
502 Main St W Ste 305, Ashland, WI, 49938-2823
Phone Number
715-682-5207
Fax Number
715-682-5209
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39166400 05 WI
institution
Provider Business Practice Location Address Details
Address
502 Main St W Ste 305
City
State
Zip
54806-1512
Phone Number
715-682-5207
Fax Number
715-682-5209
person
Provider Business Mailing Address Details
Address
502 Main St W Ste 305
City
State
Zip
54806-1512
Phone Number
715-682-5207
Fax Number
715-682-5209
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14014-132 (Wisconsin)
Definition
Definition to come...
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