Jerome Mutchie, SAC
Jerome Mutchie, SAC is an Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.
- Licensed in
- WI
- In the registry since
- 2012
Practice location Address checks out
1000 N Lynndale Dr CAppleton, WI 54914-3057
Phone: (920) 735-9010
Fax: (920) 735-9050
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16720-130 (WI) |
|---|
Record details
| NPI number | 1831441039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SAC |
| Sole proprietor | No |
| NPI enumerated | October 11, 2012 |
| Last updated in NPPES | November 25, 2014 |
| Mailing address | 1000 N Lynndale Dr, C, Appleton, WI 54914-3057 |
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