MRS. Stacey Michelle Vanderkolk, BA CADC
NPI #1326291170 in Janesville, Wisconsin
Provider Information
- NPI Number
- 1326291170
- Entity Type
- Individual
- Name
- MRS. Stacey Michelle Vanderkolk, BA CADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- BA CADC
- Enumeration Date
- Oct 24, 2008
- Last Updated
- Jul 22, 2009
Practice Location
- Address
- 54 S JACKSON ST
- City
- Janesville
- State
- Wisconsin
- ZIP Code
- 53548-3837
- Phone
- (608) 752-8716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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