Search › Wisconsin › 101YA0400X
Jerome Mutchie, SAC
NPI 1831441039 · on the registry since 2012
Practice
- Address
- 1000 N Lynndale Dr
C
Appleton, WI 54914 - Phone
- (920) 735-9010
- Fax
- (920) 735-9050
- Organisation at this address
- Options Treatment Programs, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-25
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