2) ASHLAND Designated Coordinator: Jane Snilsberg, Program Director Ashland County Human Services Dept 301 Ellis Avenue Ashland WI 54806

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1 4 Intoxicated Driver Program Designated Coordinators & Assessment Facilities State of Wisconsin May ) ADAMS Eric G Furtkamp PhD Director Adams Co Dept of Comm Programs 108 East North Street PO Box 619 Friendship WI T: F: ) ASHLAND Jane Snilsberg, Program Director Ashland County Human Services Dept 301 Ellis Avenue Ashland WI T: F: ) BARRON Bradley S. Jahr Chemical Dependency Coordinator Barron Co Dept of Human Srvs 330 E. LaSalle Ave. Barron WI T: F: Paul Hudson Dominique Wolff $ flat fee Randy Spangle Director Ashland Co Area Council on AODA 206-6th Avenue West Room 213 Ashland WI T: F: $ flat fee Arlene Eslinger Community Counseling Services 411 Bridge Street Chippewa Falls, WI T: F: $ flat fee 1

2 4) BAYFIELD Deborah Rusch Bayfield Co Dept of Human Services PO Box 100 Washburn WI T: ex.13 F: Ashland Area Council on AODA 206-6th Avenue West Room 213 Ashland WI T: $ flat fee 5) BROWN Paul Strand Brown County Human Services 111 N Jefferson St. #270 Green Bay WI T: F: $ flat fee 6) BUFFALO John Kriesel Deputy Director Buffalo Co Dept Health and Human Services Courthouse PO Box 517 Alma WI T: F: Yvette Collins $ flat fee 2

3 7) BURNETT Roberta Rudiger Burnett Co Dept of Health/Human Srvcs 7410 Co Road K #280 Siren WI T: F: ) CALUMET Tom Swenson Calumet Co Dept of Human Services Courthouse 206 Court Street Chilton WI T: F: ) CHIPPEWA Marv Schneider Disability Coordinator Chippewa County Unified Srvcs Bd 711 North Bridge Street Room 306 Chippewa Falls WI T: F: Northwest Counseling and Guidance 767- Johnson Street P.O. 388 Siren WI T: F $ flat fee Richard Decker $ flat fee $ set up payment plan Arlene Eslinger Community Counseling Services 411 Bridge Street Chippewa Falls WI T: F:

4 10) CLARK Amy Willette Clark County Community Services Courthouse Room 503 Neillsville WI T: F: $ flat fee 11) COLUMBIA Linda Pfeifer Paquette Center Hunters Trail PO Box 301 Portage WI T: F: $ flat fee 12) CRAWFORD Sara Ryan Crawford County Human Services Dept 111 West Dunn Street PO Box 5 Prairie du Chien WI T: F: Franciscan Skemp Healthcare/ Villa Succes 121 South Prairie Street Prairie du Chien WI T: F: $ flat fee 4

5 13) DANE Paul Pacheco Manager Clinical Assessment Unit Mental Health Center of Dane County 702 West Main Street Madison WI T: F: Paul Pacheco $ late fee 14) DODGE Ed Ormont IDP Coordinator Dodge County Human Services Dept 199 Home Road Juneau WI T: F: Address and telephone same as above $ flat fee 15) DOOR Joe Krebsbach Door County Dept. of Comm Program 421 Nebraska Street Box 670 Sturgeon Bay WI T: F: $ flat fee 5

6 16) DOUGLAS Jan Lippitt AODA Coordinator Douglas County Human Services Dept 1313 Belknap Street Rm 207 Superior WI T: F: The Recovery Center Inc 1500 N 34 th Street Ste 500 Superior WI T: F: $ Paperwork transfer $ if less than 24 hour notice cancellation fee 17) DUNN Richard B Leventhal Ed.D. Clinic Director Dunn County Dept of Human Services PO Box Main Menomonie WI T: F: Ext. 212 Pam Haukeness Arbor Place st Street North Menomonie WI T: F: $ failed appt. fee 18) EAU CLAIRE Margaret Hansen Eau Claire County Dept of Human Srvcs 721 Oxford Avenue Box 840 Eau Claire WI T: F: Chris Brahan OMNE Clinic 221 West Madison Suite West Riverside Bldg. Eau Claire WI T: $ flat fee 6

7 19) FLORENCE Robert J Macaux Director Florence County Human Services Dept Courthouse PO Box 170 Florence WI T: F: Ext. 171 George Thottakara Marinette Co Human Svcs Dept ADAPT 1201 Jackson Street Niagara WI T: ) FOND DU LAC Mary Ellen McMeen MSW Coordinator of Clinical Services Fond du Lac County Department of Community Programs 459 East First Street Fond du Lac WI T: F: Mary Ellen McMeen $ flat fee $ no-show fee 21) FOREST (Combined Board for Forest, Oneida, Vilas) Ann Cleereman Director The Human Service Center 705 East Timber Drive PO Box 897 Rhinelander WI T: F: Ron G. Benbenek Address and telephone same as above $ no show 7

8 22) GRANT (Combined Board Grant and Iowa) Barbara Lewis AODA Supervisor Unified Community Services 1122 Professional Dr. Dodgeville WI T: F: $ flat fee 23) GREEN Greg Holcomb, Director of Green County Human Services N3152 State Hwy 81 Monroe WI T: F: Marlene Bergemann Deborah Marino T: $ flat fee $ Adolescents $ Alcohol/Drug Clients $25.00 Underage 24) GREEN LAKE Leroy Dissing, Deputy Director Green Lake Co. Human Services Dept. P.O. Box 588 Green Lake WI T: F: Ann Zirbel Green Lake Co Human Services 500 Lake Steel Street Green Lake WI Phone and fax same as above $ flat fee $ late fee $ amended 8

9 25) IOWA (Combined Board - Grant and Iowa) See Grant County See Grant County 26) IRON Carolyn Kolson-Janov Program Director Iron County Human Services Dept Courthouse 300 Taconite St Ste.201 Hurley WI T: F: Karen Neumann T: F: ) JACKSON Esther Hinshaw Jackson County Health and Human Services Department 420 Hwy 54 West Box 457 Black River Falls WI T: F: Ray Seiler Gunderson Lutheran Counseling Services 221 Fillmore Street PO Box 271 Black River Falls WI T: F: $ flat fee $ flat fee $ flat fee 9

10 28) JEFFERSON Chris Severson AODA Coordinator Jefferson County Human Services Dept N3995 Annex Road Jefferson WI T: F: ) JUNEAU Carol Anderson BA, CADCIII IDP-AT Juneau County Dept of Human Services 220 East LaCrosse Street Courthouse Annex Mauston WI T: F: ) KENOSHA Ron Frederick Director Kenosha Co Div. of Disability Services 3508 Washington Rd Kenosha WI T: F: Jon Sveom and Suzanne Rodee Jeanne Pataska Alcohol and Other Drugs Council th St Ste 200 Kenosha WI T: F: $ flat fee $ late fee $ flat fee $ non-refundable money order for out of county residents assessment follow through. $ flat fee $ non-compliance 10

11 31) KEWAUNEE Mark C Seidl AODA Coordinator Kewaunee County Comm. Programs 522 4th Street Algoma WI T: F: ) LA CROSSE Bill Adams AODA Coordinator La Crosse County Human Services Dept 300 North 4 th Street Box 4002 La Crosse WI T: F: ) LAFAYETTE Fran Fink AODA Counselor Lafayette County Human Services Dept 627 Main Street PO Box 206 Darlington WI T: F: $ flat fee La Crosse County Human Services Outpatient $ flat fee $ flat fee 11

12 34) LANGLADE (Combined Board Langlade,Lincoln, Marathon) James Hahn North Central Health Care Facilities ADA Department 1225 Langlade Road Antigo WI T: F: ) LINCOLN (Combined Board Langlade,Lincoln Marathon) Margaret A. Parsons, PhD Lincoln Health Care Center 607 N Sales Merrill WI T: F: ) MANITOWOC Gary Daehn Manitowoc Co. Human Srvcs Dept. 926 S. 8 th Street, P.O. Box 1177 Manitowoc WI T: F: $ late fee $ late fee $ late fee 12

13 37) MARATHON Dominique Fifi North Central Health Care Facilities ADA Department 1100 Lake View Drive Wausau WI Karen Lodholz North Central Health Care Facilities Premiere Recovery 1100 Lake View Drive Wausau WI T: F: $ no show fee 38) MARINETTE L William Topel PsyD MH/AODA Coordinator Marinette County Human Srvcs Dept 2500 Hall Avenue Suite A Marinette WI T: F: Assessment Facility Contacts: Rebecca Hobbs, and Toni Anderson Marinette County Human Srvcs Dept George Thottakara Marinette Co Human Svcs Dept ADAPT 1201 Jackson Street Niagara WI T: ) MARQUETTE Scott Forbes Program Supervisr Marquette Chemical Dependency Srvcs N3829 State Hwy 22 PO Boxes 57 Montello WI T: F: $ fee $ amended driver Safety Plan $ out of state packet 13

14 40) MENOMINEE Amy Zimmer, Program Manager Menominee Co Human Services Dept PO Box 280 Keshena WI T: F: ) MILWAUKEE Virgil Williams, Coordinator for Alcohol/Drug Abuse Milwaukee County Combined Community Services Board 235 West Galena Street Suite 270 Milwaukee WI T: F: ) MONROE Lori Svendsen Monroe Co Dept of Human Services Hwy B, Box 19 Sparta WI T: F: $ non Native American $ Native American John Hyatt Impact 1126 South 70th Street Suite 116 Milwaukee WI T: F: $ flat fee $ late/no show fee $ late fee $ no show fee 14

15 43) OCONTO Bruce Retzlaff Oconto County Dept of Human Services 501 Park Avenue Oconto Falls WI T: F: Cari Yudes and Julie Whitworth $ flat fee 44) ONEIDA (Combined Board - Forest,Oneida, Vilas) See Forest County See Forest County See Forest County 45) OUTAGAMIE Diane Doden Manager of MH/AODA Outagamie Co Health and Human Svcs 401 S. Elm Street Appleton WI T: F: Margaret Chester Theda Care Behavioral Health Services 444 Westhill Blvd Appleton WI T: F: $ flat fee $ late fee 15

16 46) OZAUKEE Joan Kojis MH/AODA Coordinator Ozaukee Co Dept of Comm Programs 121 West Main Street Port Washington WI T: F: or Metro Lynette Bauer $ flat fee $ reinstatement fee $ amended DSP fee 47) PEPIN Phil Wicktor Deputy Director Pepin County Dept of Human Service 740-7th Avenue West PO Box 39 Durand WI T: F: Pam Haukeness Arbor Place st Street, N.E. Menomonie WI T: F: $ rescheduling fee $ no show fee 48) PIERCE Linda Johnson Pierce County Dept of Human Services 412 West Kinne Street PO Box 670 Ellsworth WI T: F: $ flat fee 16

17 49) POLK David Huebsch Polk Co. Human Services 100 Rolk Plaza Suite 50 Balsam Lake WI T: F; Kathy Herbison 100 Polk Plaza Suite 50 Balsam Lake WI T: F: $ no show 50) PORTAGE Lori Rockman Coordinator of Restorative Care Srvcs Portage Co. Health and Human Srvcs 817 Whiting Avenue Stevens Point WI T: F: Perry Ackeret Assessor Portage Co. Health and Human Srvcs 817 Whiting Avenue Stevens Point WI T: F: $ assessment fee $ deposit $ out of state 51) PRICE Kathy Billek Price County Human Services Dept 104 S Eyder Avenue Phillips WI T: F: Mike Sanderson Counseling Center 110 W. Lake Ave P.O. Box 117 Ladysmith WI T: F: $ flat fee 17

18 52) RACINE Mary Jane Whitmore Racine Psychological Services SC 840 Lake Avenue #101 Racine WI T: F: $ flat fee 53) RICHLAND Tracy Thorsen, Clinic Coordinator Richland County Community Programs 1000 Highway 14 West Richland Center WI T: F: Sarah Hibbard $ flat fee $ late fee 54) ROCK Dr. George Krebs Clinical Dir of Outpatient Services Rock County Human Service Dept 3506 North US Hwy 51 PO Box 1649 Janesville WI T: F: Virginia Halvensleben Chapter 20 Coordinator Intoxicated Driver Program 1900 Center Ave Janesville WI T: F: $ flat fee $ no show fee 18

19 55) RUSK Ted East Rusk Co. Health and Human Services 311 E. Miner Ave Suite C240 Ladysmith WI T F: Arlene Eslinger Community Counseling Services N5273 State Road 27 Ladysmith WI T: ) ST. CROIX Ron Kiesler, MH/AODA Coordinator St Croix Co. Health and Human Srvcs 1445 North 4th Street New Richmond WI T: F: ) SAUK Kendall Cady, Program Director Sauk County Dept Human Services 505 Broadway P.O. Box 29 4th Floor Baraboo WI T: F: Susan Knower Pauquette Center 1002 Lincoln Ave Baraboo WI T: F: $ flat fee $ flat fee $ rescheduling fee $ out-of-state referral fee $ amendment fee $ final report fee $ flat fee 19

20 58) SAWYER Pete Sanders Program Director Sawyer County Human Services 105 East 4 th Street PO Box 730 Hayward WI T: F: Joe Bodo Program Coordinator $ flat fee $ schedule fee 59) SHAWANO Judy Kressin-Reindl Shawano County Dept of Comm Prog 504 Lakeland Road Shawano WI T: F: $ flat fee 60) SHEBOYGAN Myles Tonnacliff Outpatient Services Coordinator Sheboygan Co Human Services Dept 1011 North 8th Street Sheboygan WI T: F:

21 61) TAYLOR Daniel Brost Clinical Services Director Taylor Co Comm Human Services Dept 540 East College Street Medford WI T: F: ) TREMPEALEAU Dee Ann Anderson, Srvcs Coordinator Unified Srvcs Bd of Trempealeau Co Courthouse Post Office Box 67 Whitehall WI T: F: ) VERNON Jean Klousia Vernon County Human Services E7410 Co Rd. BB #100 Viroqua WI T: F: Intake Office Address and telephone same as above $ flat fee Johnson Counseling Consulting 505 King Street Suite 227 LaCrosse WI T: F: Toll free: $ flat fee $ rescheduling fee Johnson Counseling Consulting 505 King Street Suite 227 LaCrosse WI T: F: Toll free: $ flat fee $ per hour no show fee 21

22 64) VILAS (Combined Board - Forest, Oneida, Vilas) See Forest County 65) WALWORTH Ron Richardson Walworth Co Human Service Center Box 1005 County Highway NN Elkhorn WI T: F: ) WASHBURN Jim LeDuc Washburn Co Human Services Dept. P.O. Box 250 Shell Lake WI See Forest County See Forest County Marlene Huffar $ flat fee $ late fee Arlene Eslinger Community Counseling Services 411 Bridge street Chippewa Falls WI T: F: $ flat fee 22

23 67) WASHINGTON Kay Thuecks MH/AODA Coordinator Washington County Comprehensive Community Services Agency 333 East Washington Street Ste 2100 West Bend WI T: F: Lawrence Smikowski The Council on AODA 1625 E. Washington Street West Bend WI T: F: $ flat fee $ amended plan $ reinstatement $ extension 68) WAUKESHA Bill Graham AODA Coordinator Waukesha County Health and Human Services Department 500 Riverview Avenue Waukesha WI T: F: Ext: 101 Claudia Roska Addiction Resource Council W228 N633 West Mound Drive Waukesha WI T: F: $ flat fee $ late fee $ extension 69) WAUPACA Dennis Dornfeld, Director Waupaca County Department of Health and Human Services 811 Harding Street Waupaca WI T: F: Ronald Pehlke Address and fax same as above T: $ flat fee $ late fee $ no-show fee $ voluntary $ amended/extended DSP 23

24 70) WAUSHARA Paul Theyel Community Programs of Waushara Co P.O. Box 1230 Wautoma WI T: F: ) WINNEBAGO Thomas E Saari AODA Coordinator Winnebago Co Dept of Human Srvcs 220 Washington Avenue PO Box 2187 Oshkosh WI T: F: ) WOOD James Cruthers, B.A. CADC III Wood County Unified Services Dept th Street South Wisconsin Rapids WI T: F: Assessment Facility Contacts: $ flat fee $ flat fee $ penalty fee $ amended plan fee $ flat fee $ late fee $ amended plan 24