Doctor Name: | MS. JO ANN E POMERLEAU |
NPI Number: | 1184759201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSE, LPC |
License Number: | 2730-125 |
Business Practice Address: | N4851 Hwy 63 South Spooner, WI - 54801 |
Business Phone Number: | 7156354858 |
Business Fax Number: | 7156354861 |
Mailing Address: | N4851 Hwy 63 South, SPOONER |
State: | WI |
Postal Code: | 54801 |
Phone Number: | 7156354858 |
Fax Number: | 7156354861 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2730-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |