person
Charles Anthony Doram, CSAC
Addiction (Substance Use Disorder) Counselor in Monona, Wisconsin
NPI 1346494895

Charles Anthony Doram is an Addiction (Substance Use Disorder) Counselor based in Monona, WI and is specialized in Addiction (Substance Use Disorder). Charles Anthony Doram practices in Monona, WI and has the professional credentials of CSAC. The NPI Number for Charles Anthony Doram is 1346494895 and holds a License No. 312574 (Wisconsin).

The current practice location address for Charles Anthony Doram is 2829 Royal Ave, Monona, WI and can be reached out via phone at 608-661-2829 and via fax at 608-661-0907.

Location: 2829 Royal Ave, Monona, WI, 53713-1535
person
Provider Profile Details
NPI Number
1346494895
Provider Name
Charles Anthony Doram
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
2829 Royal Ave, Monona, WI, 53713-1535
Phone Number
608-661-2829
Fax Number
608-661-0907
Provider Enumeration Date
11/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2829 Royal Ave
City
State
Zip
53713-1535
Phone Number
608-661-2829
Fax Number
608-661-0907
person
Provider Business Mailing Address Details
Address
2829 Royal Ave
City
State
Zip
53713-1535
Phone Number
608-661-2829
Fax Number
608-661-0907
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
312574 (Wisconsin)
Definition
Definition to come...
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