CHAI MOUA

EAU CLAIRE, WI
NPI1871245027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-01-19
Last Update Date2022-01-19
Business Address
CHAI MOUA
4701 RUDOLPH RD
EAU CLAIRE, WI 54701-7953
Phone number: 715-590-2360
Mailing Address
CHAI MOUA
4701 RUDOLPH RD
EAU CLAIRE, WI 54701-7953
Phone number: 715-590-2360