Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY W SAMPLE, CADC
ActiveJERRY W SAMPLE, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LA CROSSE, Wisconsin. NPI 1508806001 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LA CROSSE, WI
Registration Details
- NPI Number
- 1508806001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (20.146920967851 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11750 (WI)
Practice Information
- Address
-
1910 SOUTH AVELA CROSSE, WI, 546015467Browse WI providers · Browse ZIP 54601
- Phone
- 6087827300
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LA CROSSE, WI
| Name | Credential | NPI |
|---|---|---|
| MARGARET M PATZNER | CADC | 1740286244 |
| BRUCE A PULKKILA | CADC | 1194721605 |
| WILLIAM R SCOWCROFT | CADC | 1730185240 |
| MARK L TAYLOR | CADC | 1003812157 |
| SANDRA R GABRIELSON | CADC III | 1174524730 |
| EDWIN FIGUEROA | CADC III | 1194726687 |
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.