Suquet, Evangeline M
Suquet, Evangeline M is an individual health care provider with primary practice located at W9850 Airport Road , Black River Falls WI 54615. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Suquet, Evangeline M can be contacted via phone (715) 284-9851.Contact Information
Primary practice address
W9850 Airport Road
Black River Falls WI 54615
Phone: (715) 284-9851
Fax: (715) 284-3434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15705-132 | Wisconsin |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5231-125 | Wisconsin |
Profile Details
NPI number | 1912147828 |
---|---|
LBN Legal business name | Suquet, Evangeline M |
Credentials | MAC, CSAC, LPC, CSIT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 5th, 2009 |
Last updated | Oct 20th, 2016 - about 9 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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