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306 S Barstow St Eau Claire WI 54701-3678 | |
| (715) 855-1373 | |
| (715) 855-1375 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 306 S Barstow St, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Tara Treglowne (COO) |
| Authorized Official Contact | 4142462300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1904 Winnebago St Fl 2 Madison WI 53704-5315 Ph: (608) 234-2074 | 306 S Barstow St Eau Claire WI 54701-3678 Ph: (715) 855-1373 |
| NPI Number | 1659446672 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659446672 | NPI | - | NPPES |
| 42112200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2872 (Wisconsin) | Primary |
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