person
Melody Jean Jorgensen
Addiction (Substance Use Disorder) Counselor in Phillips, Wisconsin
NPI 1346959640

Melody Jean Jorgensen is an Addiction (Substance Use Disorder) Counselor based in Phillips, WI and is specialized in Addiction (Substance Use Disorder). Melody Jean Jorgensen practices in Phillips, WI. The NPI Number for Melody Jean Jorgensen is 1346959640 and holds a License No. 20093-130 (Wisconsin).

The current practice location address for Melody Jean Jorgensen is 171 Chestnut St, Phillips, WI and can be reached out via phone at 715-629-9274.

Location: 171 Chestnut St, Phillips, WI, 54555-1313
person
Provider Profile Details
NPI Number
1346959640
Provider Name
Melody Jean Jorgensen
Credential
Provider Entity Type
Individual
Gender
Female
Address
171 Chestnut St, Phillips, WI, 54555-1313
Phone Number
715-629-9274
Fax Number
Provider Enumeration Date
11/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20093-130 01 WI SUBSTANCE ABUSE COUNSELOR IN TRAINING
institution
Provider Business Practice Location Address Details
Address
171 Chestnut St
City
State
Zip
54555-1313
Phone Number
715-629-9274
Fax Number
person
Provider Business Mailing Address Details
Address
171 Chestnut St
City
State
Zip
54555-1313
Phone Number
715-629-9274
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20093-130 (Wisconsin)
Definition
Definition to come...
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