| NPI | 1801939467 |
|---|---|
| Doing Business As | INDEPENDENT ASSESSMENT & COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | KENNETH ROY SANN Owner 920-438-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1722-132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2313) |
| 104100000X Social Worker (Licence: WI 2221-120) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-07-03 |