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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 codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)16363-131WIYes

Practice location

1307 State Road 69
New Glarus, WI 53574-9328

Phone 608-527-2401 · Fax 608-527-1939

Mailing address

2607 2nd Ave
Monroe, WI 53566-3501

Phone 815-238-7891

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