NPI 1487829883

Annette Pauline Latender, CSAC

Practitioner Addiction (Substance Use Disorder) Counselor Gresham, WI

Practice location

Address: N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602
Phone: (715) 799-3835
Fax: (715) 799-3836

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 15188 (WI)

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Registry record

NPI: 1487829883
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2008
Record last updated: 25 Apr 2008

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.