JASON STOFFEL

APPLETON, WI
NPI1801227699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16693-130)
Enumeration Date2013-12-05
Last Update Date2013-12-05
Business Address
-- JASON STOFFEL
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
Mailing Address
-- JASON STOFFEL
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443