person
Jolene A Derfus, SAC-IT
Addiction (Substance Use Disorder) Counselor in Crandon, Wisconsin
NPI 1598336620

Jolene A Derfus is an Addiction (Substance Use Disorder) Counselor based in Wabeno, WI and is specialized in Addiction (Substance Use Disorder). Jolene A Derfus practices in Crandon, WI and has the professional credentials of SAC-IT. The NPI Number for Jolene A Derfus is 1598336620 and holds a License No. 19242 (Wisconsin).

The current practice location address for Jolene A Derfus is 3144 Vanzile Rd, Crandon, WI and can be reached out via phone at 715-478-5180.

Location: 3144 Vanzile Rd, Crandon, WI, 54566-9084
person
Provider Profile Details
NPI Number
1598336620
Provider Name
Jolene A Derfus
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
3144 Vanzile Rd, Crandon, WI, 54566-9084
Phone Number
715-478-5180
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3144 Vanzile Rd
City
State
Zip
54520-8149
Phone Number
715-478-5180
Fax Number
person
Provider Business Mailing Address Details
Address
3144 Vanzile Rd
City
State
Zip
54520-8149
Phone Number
715-478-5180
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19242 (Wisconsin)
Definition
Definition to come...
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