Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB J LICHMAN JR., CSAC IDP/AT
ActiveJACOB J LICHMAN JR., CSAC IDP/AT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MONTELLO, Wisconsin. NPI 1306140967 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MONTELLO, WI
Registration Details
- NPI Number
- 1306140967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2010 (15.500867816919 yrs)
- Last Updated
- Dec 22, 2010
- License
-
1853-132 (WI)
Practice Information
- Address
-
N3829 STATE ROAD 22MONTELLO, WI, 539499049Browse WI providers · Browse ZIP 53949
- Phone
- 6082972085
- Fax
- 6082972426
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MONTELLO, WI
| Name | Credential | NPI |
|---|---|---|
| JAMES A WEBB | CSAC, ICS | 1194911644 |
| TIFFANY SCHMIT | CSAC | 1003245168 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.