Passageway, Inc. Frs-Tr

NPI #1821398736 in Janesville, Wisconsin

Provider Information

NPI Number
1821398736
Entity Type
Organization
Organization Name
Passageway, Inc. Frs-Tr
Primary Specialty
Counselor - Professional
Enumeration Date
Oct 25, 2010
Last Updated
Jan 25, 2017

Practice Location

Address
3246 W ROLLINGWOOD DR
ZIP Code
53545-9030
Phone
(608) 563-5633

Authorized Official

Name
KATHLEEN M MILLER, LPC CSAC ICS
Title
PRESIDENT/ PROVIDER
Phone
(608) 563-5633

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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