Jerry W Sample, CADC
Jerry W Sample, CADC is an Addiction (Substance Use Disorder) Counselor in LA Crosse, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- CADC — Certified Alcohol and Drug Counselor
- A certified addiction counsellor.
Practice location Address checks out
1910 S AveLA Crosse, WI 54601-5467
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 11750 (WI) |
|---|
Record details
| NPI number | 1508806001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADC |
| Sole proprietor | No |
| NPI enumerated | June 7, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1910 South Ave, La Crosse, WI 54601-5467 |
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