Doctor Name: | ALICIA S SKILES |
NPI Number: | 1003221821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | QTT |
License Number: | 2187-226 |
Business Practice Address: | 1707 Main St La Crosse, WI - 546014200 |
Business Phone Number: | 6087850001 |
Business Fax Number: | 6087850002 |
Mailing Address: | 1707 Main St, LA CROSSE |
State: | WI |
Postal Code: | 546014200 |
Phone Number: | 6087850001 |
Fax Number: | 6087850002 |
NPI Enumeration Date: | 07/01/2014 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2187-226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |