person
Tristan Albert Ertman, SAC-IT
Addiction (Substance Use Disorder) Counselor in Kiel, Wisconsin
NPI 1780262840

Tristan Albert Ertman is an Addiction (Substance Use Disorder) Counselor based in Kiel, WI and is specialized in Addiction (Substance Use Disorder). Tristan Albert Ertman practices in Kiel, WI and has the professional credentials of SAC-IT. The NPI Number for Tristan Albert Ertman is 1780262840 and holds a License No. 19029-130 (Wisconsin).

The current practice location address for Tristan Albert Ertman is 530 State Road 67, Kiel, WI and can be reached out via phone at 920-894-1374 and via fax at 920-894-1373.

Location: 530 State Road 67, Kiel, WI, 53042-1650
person
Provider Profile Details
NPI Number
1780262840
Provider Name
Tristan Albert Ertman
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
530 State Road 67, Kiel, WI, 53042-1650
Phone Number
920-894-1374
Fax Number
920-894-1373
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46-1566338 01 WI PATHWAYS TO A BETTER LIFE
institution
Provider Business Practice Location Address Details
Address
530 State Road 67
City
State
Zip
53042-1650
Phone Number
920-894-1374
Fax Number
920-894-1373
person
Provider Business Mailing Address Details
Address
530 State Road 67
City
State
Zip
53042-1650
Phone Number
920-894-1374
Fax Number
920-894-1373
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19029-130 (Wisconsin)
Definition
Definition to come...
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