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
- City
- Janesville
- State
- Wisconsin
- 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 - Professional — Professional |
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