Adler, Mary Jo

Adler, Mary Jo is an individual health care provider with primary practice located at 808 Main St E , Menomonie WI 54751-2735. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adler, Mary Jo can be contacted via phone (715) 232-1116.

Contact Information

Primary practice address
808 Main St E Menomonie WI 54751-2735
Phone: (715) 232-1116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2372-123 Wisconsin

Profile Details

NPI number 1881633196
LBN Legal business name Adler, Mary Jo
Credentials MSSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881633196 NPPES
Minnesota Other 18936 MMSI PROVIDER NUMBER
Minnesota MEDICAID 39563700 MMSI PROVIDER NUMBER
Minnesota Other 1029428 MMSI PROVIDER NUMBER
Minnesota Other 44245 MMSI PROVIDER NUMBER

Popular Providers