Taylor County

NPI #1538373022 in Medford, Wisconsin

Provider Information

NPI Number: 1538373022
Entity Type: Organization
Organization Name: Taylor County
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 10, 2007
Last Updated: Dec 19, 2007

Practice Location

Address: 540 COLLEGE AVE
City: Medford
State: Wisconsin
ZIP Code: 54451-2027
Phone: (715) 748-3332

Authorized Official

Name: MS. KAREN SUE JACOBSON, CADC III, IDP-AT
Title: CERTIFIED SUBSTANCE ABUSE COUNSELOR
Phone: (715) 748-3332

Specialties & Taxonomy Codes

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

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