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Search › Wisconsin › Addiction (Substance Use Disorder) Counselor

Jacob Lichman, CSAC IDP/AT

NPI 1306140967 · on the registry since 2010

Practice

Address
N3829 State Road 22
Montello, WI 53949
Phone
(608) 297-2085
Fax
(608) 297-2426
Organisation at this address
Marquette Chemical Dependency Service
Inferred from a shared address, not stated in the registry.

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
Male
Record last updated
2010-12-22

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