person
Joanne Lee Tulachka, CSAC
Addiction (Substance Use Disorder) Counselor in Kewaunee, Wisconsin
NPI 1285741876

Joanne Lee Tulachka is an Addiction (Substance Use Disorder) Counselor based in Kewaunee, WI and is specialized in Addiction (Substance Use Disorder). Joanne Lee Tulachka practices in Kewaunee, WI and has the professional credentials of CSAC. The NPI Number for Joanne Lee Tulachka is 1285741876 and holds a License No. 15190132 (Wisconsin).

The current practice location address for Joanne Lee Tulachka is 810 Lincoln Street, Kewaunee, WI and can be reached out via phone at 920-388-7030 and via fax at 920-388-7044.

Location: 810 Lincoln Street, Kewaunee, WI, 54216
person
Provider Profile Details
NPI Number
1285741876
Provider Name
Joanne Lee Tulachka
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
810 Lincoln Street, Kewaunee, WI, 54216
Phone Number
920-388-7030
Fax Number
920-388-7044
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39174200 05 WI
3949242490003 01 WI BCBS
institution
Provider Business Practice Location Address Details
Address
810 Lincoln Street
City
State
Zip
54216
Phone Number
920-388-7030
Fax Number
920-388-7044
person
Provider Business Mailing Address Details
Address
810 Lincoln Street
City
State
Zip
54216
Phone Number
920-388-7030
Fax Number
920-388-7044
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15190132 (Wisconsin)
Definition
Definition to come...
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