person
Mary Nahwahquaw, CSAC
Addiction (Substance Use Disorder) Counselor in Keshena, Wisconsin
NPI 1467941161

Mary Nahwahquaw is an Addiction (Substance Use Disorder) Counselor based in Keshena, WI and is specialized in Addiction (Substance Use Disorder). Mary Nahwahquaw practices in Keshena, WI and has the professional credentials of CSAC. The NPI Number for Mary Nahwahquaw is 1467941161 and holds a License No. 15255-132 (Wisconsin).

The current practice location address for Mary Nahwahquaw is W3272 Wolf River Dr, Keshena, WI and can be reached out via phone at 715-799-3861 and via fax at 715-799-3517.

Location: W3272 Wolf River Dr, Keshena, WI, 54135-0280
person
Provider Profile Details
NPI Number
1467941161
Provider Name
Mary Nahwahquaw
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
W3272 Wolf River Dr, Keshena, WI, 54135-0280
Phone Number
715-799-3861
Fax Number
715-799-3517
Provider Enumeration Date
05/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100084797 05 WI
institution
Provider Business Practice Location Address Details
Address
W3272 Wolf River Dr
City
State
Zip
54135-9202
Phone Number
715-799-3861
Fax Number
715-799-3517
person
Provider Business Mailing Address Details
Address
W3272 Wolf River Dr
City
State
Zip
54135-9202
Phone Number
715-799-3861
Fax Number
715-799-3517
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15255-132 (Wisconsin)
Definition
Definition to come...
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