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Search › Wisconsin › Addiction (Substance Use Disorder) Counselor

Patricia Kenote-Deperry

NPI 1003906009 · on the registry since 2006

Practice

Address
37390 N Bradum Rd
Bayfield, WI 54814
Phone
(715) 779-3741
Fax
(715) 779-3765
Organisation at this address
Red Cliff Band Of Chippewa Indians
Red Cliff Aoda Program/Mishomis House
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin