person
Ms. Rene Bernadette Livingston-detienne, SAC-IT
Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin
NPI 1962270884

Rene Bernadette Livingston-detienne is an Addiction (Substance Use Disorder) Counselor based in Madison, WI and is specialized in Addiction (Substance Use Disorder). Rene Bernadette Livingston-detienne practices in Madison, WI and has the professional credentials of SAC-IT. The NPI Number for Rene Bernadette Livingston-detienne is 1962270884 and holds a License No. 20046-130 (Wisconsin).

The current practice location address for Rene Bernadette Livingston-detienne is 4785 Hayes Rd Ste 200, Madison, WI and can be reached out via phone at 608-844-8473. You can also correspond with Rene Bernadette Livingston-detienne through the mailing address at 4722 MAHER AVE, MADISON, WI - 53716-2232 (mailing address contact number: 608-219-7053).

Location: 4785 Hayes Rd Ste 200, Madison, WI, 53716-2232
person
Provider Profile Details
NPI Number
1962270884
Provider Name
Rene Bernadette Livingston-detienne
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
4785 Hayes Rd Ste 200, Madison, WI, 53716-2232
Phone Number
608-844-8473
Fax Number
Provider Enumeration Date
12/20/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20046-130 01 WI SAC-IT
082125 01 WI CPS (CERTIFIED PEER SPECIALIST)
institution
Provider Business Practice Location Address Details
Address
4785 Hayes Rd Ste 200
City
State
Zip
53704-7364
Phone Number
608-844-8473
Fax Number
person
Provider Business Mailing Address Details
Address
4785 Hayes Rd Ste 200
City
State
Zip
53704-7364
Phone Number
608-844-8473
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20046-130 (Wisconsin)
Definition
Definition to come...
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