NPI Lookup
NPPES Search
Providers by State
Blog
Home
1306140967
JACOB J LICHMAN
MONTELLO, WI
NPI
1306140967
Copy
Other Name
JAY J LICHMAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1853-132)
Enumeration Date
2010-12-22
Last Update Date
2010-12-22
Business Address
-- JACOB J LICHMAN CSAC IDP/AT
N3829 STATE ROAD 22
MONTELLO, WI 53949-9049
Phone number: 608-297-2085
Copy
Mailing Address
-- JACOB J LICHMAN CSAC IDP/AT
PO BOX 57
MONTELLO, WI 53949-0057
Phone number: 608-297-2085
Copy
Similar providers in Montello, WI
JAMES A WEBB
TIFFANY SCHMIT
CLINT STARKS
LISA DEDRICK
STACY L. WEBB