JUSTIN DEAN WAHL ADAME

SHEBOYGAN, WI
NPI1871387878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20789-130)
Enumeration Date2025-04-07
Last Update Date2025-04-07
Business Address
JUSTIN DEAN WAHL ADAME SAC-IT
2801 CALUMET DRIVE
SHEBOYGAN, WI 53083
Phone number: 951-218-0403
Mailing Address
JUSTIN DEAN WAHL ADAME SAC-IT
1100 S IRISH RD APT 7
CHILTON, WI 53014-1273
Phone number: 951-218-0403
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