Individual provider · Type 1 NPI
Kenneth Ginlack, CSAC
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1104171479
Active
Practice location
2573 N 52nd St
Milwaukee, WI 53210-2730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15698-132 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104171479
Kenneth Ginlack, CSAC's National Provider Identifier is 1104171479, issued on Jul 23, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 23, 2012.