MS. Jean A Daute, MS LPC CSAC ICS MAC

NPI #1184690679 in Stoughton, Wisconsin

Provider Information

NPI Number: 1184690679
Entity Type: Individual
Name: MS. Jean A Daute, MS LPC CSAC ICS MAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MS LPC CSAC ICS MAC
Enumeration Date: Feb 24, 2006
Last Updated: Jul 2, 2012

Practice Location

Address: 135 W MAIN ST
Address 2: SUITE 207
City: Stoughton
State: Wisconsin
ZIP Code: 53589-2100
Phone: (608) 873-7838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Professional — Professional	101YP2500X

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