MENISSA RITA POWLESS

BARABOO, WI
NPI1154120418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20718-130)
Enumeration Date2025-03-10
Last Update Date2025-03-10
Business Address
MENISSA RITA POWLESS SAC-IT
S2845 WHITE EAGLE RD
BARABOO, WI 53913-9064
Phone number: 608-355-1240
Mailing Address
MENISSA RITA POWLESS SAC-IT
2041 VIKING DR
REEDSBURG, WI 53959-8900
Phone number: 608-355-1240