Jeanne Elise Button, CSCA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Tomah, WI

NPI 1588846752 · NPPES record last updated Nov 29, 2007

Key facts

NPI
1588846752
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1253-132 (WI)
Practice address
500 E Veterans St
Tomah, WI 54660-3105
Phone
(608) 372-3971
Fax
(608) 372-1654
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1253-132WIMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1253-132 WI Yes

Addresses

Primary practice location

500 E Veterans St
Tomah, WI 54660-3105

Mailing address

500 E Veterans St
Tomah, WI 54660-3105
Phone (608) 372-3971

Other providers in Tomah, WI

All providers in Tomah, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.