Jacob J Lichman Jr., CSACIDP/AT
Jacob J Lichman Jr., CSACIDP/AT is an Addiction (Substance Use Disorder) Counselor in Montello, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.
- Licensed in
- WI
- In the registry since
- 2010
Practice location Address checks out
N3829 State Road 22Montello, WI 53949-9049
Phone: (608) 297-2085
Fax: (608) 297-2426
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1853-132 (WI) |
|---|
Record details
| NPI number | 1306140967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSACIDP/AT |
| Sole proprietor | No |
| NPI enumerated | December 22, 2010 |
| Last updated in NPPES | December 22, 2010 |
Other providers in Montello
-
Tiffany Schmit, CSAC
480 Underwood Ave, Montello, WI 53949-9248 · (608) 297-3181
-
Clint Starks, SACIT, LPCIT
480 Underwood Ave, Montello, WI 53949-9248 · (608) 297-3181
-
James A Webb, CSAC, ICS
480 Underwood Ave, Montello, WI 53949-9248 · (608) 297-3181
-
Stacy L. Webb, RN, CSAC, ICS
480 Underwood Ave, Montello, WI 53949-9248 · (608) 297-3181