Mcdougle, Teri
Mcdougle, Teri is an sole proprietor health care provider with primary practice located at 4647 Mormon Coulee Rd , La Crosse WI 54601-8225. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mcdougle, Teri can be contacted via phone (608) 519-3080.Contact Information
Primary practice address
4647 Mormon Coulee Rd
La Crosse WI 54601-8225
Phone: (608) 519-3080
Fax: (608) 519-3083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1540-132 | Wyoming |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12192-134 | Wisconsin |
Profile Details
| NPI number | 1306902747 |
|---|---|
| LBN Legal business name | Mcdougle, Teri |
| Credentials | CSAC, ICS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Aug 15th, 2012 - about 12 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.
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