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Mrs. Pauline E Ortloff, BS,CSAC,ICS
Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin
NPI 1639608698

Pauline E Ortloff is an Addiction (Substance Use Disorder) Counselor based in Kenosha, WI and is specialized in Addiction (Substance Use Disorder). Pauline E Ortloff practices in Racine, WI and has the professional credentials of BS,CSAC,ICS. The NPI Number for Pauline E Ortloff is 1639608698 and holds a License No. 10709-132 (Wisconsin).

The current practice location address for Pauline E Ortloff is 1717 Taylor Avenue, Racine, WI and can be reached out via phone at 262-638-6744 and via fax at 262-638-6540.

Location: 1717 Taylor Avenue, Racine, WI, 53142-7924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639608698
Provider Name
Pauline E Ortloff
Credential
BS,CSAC,ICS
Provider Entity Type
Individual
Gender
Female
Address
1717 Taylor Avenue, Racine, WI, 53142-7924
Phone Number
262-638-6744
Fax Number
262-638-6540
Provider Enumeration Date
06/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 Taylor Avenue
City
Racine
State
Wisconsin
Zip
53403
Phone Number
262-638-6744
Fax Number
262-638-6540
person
Provider Business Mailing Address Details
Address
1717 Taylor Avenue
City
Racine
State
Wisconsin
Zip
53403
Phone Number
262-638-6744
Fax Number
262-638-6540
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
10709-132 (Wisconsin)
Definition
Definition to come...
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