JAY CHRISTOPHER GIANCOLA

ASHLAND, WI
NPI1154430981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  11701)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
-- JAY CHRISTOPHER GIANCOLA CADC III
1635 MAPLE LN
ASHLAND, WI 54806-3610
Phone number: 715-685-5400
Mailing Address
-- JAY CHRISTOPHER GIANCOLA CADC III
1635 MAPLE LN
ASHLAND, WI 54806-3610
Phone number: 715-685-5400