Tim Allen Obert, MS, CPS, SAC, CCDS
Counselor, Addiction (Substance Use Disorder) in New Glarus, WI. Individual provider (NPI-1).
NPI number1396258240
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1396258240
- Entity type
- Individual (NPI-1)
- Name
- Tim Allen Obert
- Credential
- MS, CPS, SAC, CCDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2017
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 16363-131 | WI | Yes |
Practice location
1307 State Road 69New Glarus, WI 53574-9328
Phone 608-527-2401 · Fax 608-527-1939
Mailing address
2607 2nd AveMonroe, WI 53566-3501
Phone 815-238-7891
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