NPI 1003079708

Charles D Lipford, CSAC

Practitioner Addiction (Substance Use Disorder) Counselor Mauston, WI

Practice location

Address: 220 E La Crosse St. Juneau County Human Services, Mauston, WI 53948-2101
Phone: (608) 847-2400
Fax: (608) 847-9599

Registered specialties (2)

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 15413-131 (WI)

Other Counselor providers in Wisconsin →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 302375 (MN)

Registry record

NPI: 1003079708
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2008
Record last updated: 30 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.