person
Connie Rae Champion, LSW,LPC-IT,SAC-IT
Addiction (Substance Use Disorder) Counselor in Baraboo, Wisconsin
NPI 1598253890

Connie Rae Champion is an Addiction (Substance Use Disorder) Counselor based in Monona, WI and is specialized in Addiction (Substance Use Disorder). Connie Rae Champion practices in Baraboo, WI and has the professional credentials of LSW,LPC-IT,SAC-IT. The NPI Number for Connie Rae Champion is 1598253890 and holds a License No. 3265 (Wisconsin).

The current practice location address for Connie Rae Champion is 414 Broadway St Ste 101, Baraboo, WI and can be reached out via phone at 608-402-4312.

Location: 414 Broadway St Ste 101, Baraboo, WI, 53716-3561
person
Provider Profile Details
NPI Number
1598253890
Provider Name
Connie Rae Champion
Credential
LSW,LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
414 Broadway St Ste 101, Baraboo, WI, 53716-3561
Phone Number
608-402-4312
Fax Number
Provider Enumeration Date
04/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
414 Broadway St Ste 101
City
State
Zip
53913-2488
Phone Number
608-402-4312
Fax Number
person
Provider Business Mailing Address Details
Address
414 Broadway St Ste 101
City
State
Zip
53913-2488
Phone Number
608-402-4312
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18546 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3265 (Wisconsin)
Definition
Definition to come...
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