Individual provider · Type 1 NPI

Gerald Wistein, ICS, CSAC, MSW

Addiction (Substance Use Disorder) Counselor · Monona, WI

NPI number 1073756623 Active

Practice location

300 Femrite Dr
Monona, WI 53716-3716

Mailing address

7538 Mid Town Rd Apt 101
Madison, WI 53719-3454

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1541-132 (WI)
Social Worker 104100000X955-120 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073756623

Gerald Wistein, ICS, CSAC, MSW's National Provider Identifier is 1073756623, issued on Apr 13, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monona, WI. The record was last updated on Jun 8, 2016.