person
Joseph White Eagle SR., SAC
Addiction (Substance Use Disorder) Counselor in Baraboo, Wisconsin
NPI 1033531108

Joseph White Eagle SR. is an Addiction (Substance Use Disorder) Counselor based in Baraboo, WI and is specialized in Addiction (Substance Use Disorder). Joseph White Eagle SR. practices in Baraboo, WI and has the professional credentials of SAC. The NPI Number for Joseph White Eagle SR. is 1033531108 and holds a License No. 16099-131 (Wisconsin).

The current practice location address for Joseph White Eagle SR. is S2845 White Eagle Rd, Baraboo, WI and can be reached out via phone at 608-355-1240 and via fax at 608-355-9588.

Location: S2845 White Eagle Rd, Baraboo, WI, 53913-9064
person
Provider Profile Details
NPI Number
1033531108
Provider Name
Joseph White Eagle SR.
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
S2845 White Eagle Rd, Baraboo, WI, 53913-9064
Phone Number
608-355-1240
Fax Number
608-355-9588
Provider Enumeration Date
01/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
S2845 White Eagle Rd
City
State
Zip
53913-9064
Phone Number
608-355-1240
Fax Number
608-355-9588
person
Provider Business Mailing Address Details
Address
S2845 White Eagle Rd
City
State
Zip
53913-9064
Phone Number
608-355-1240
Fax Number
608-355-9588
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16099-131 (Wisconsin)
Definition
Definition to come...
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