Jerry W Sample, CADC is an addiction (substance use disorder) counselor in La Crosse, WI. Jerry W Sample, CADC NPI is 1508806001. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1910 SOUTH AVE
LA CROSSE, WI
ZIP 54601-467
Phone: (608) 782-7300
The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/8/2007.