Individual provider · Type 1 NPI

Conrad Wynstra

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1104643675 Active

Practice location

2422 N Grandview Blvd
Waukesha, WI 53188-6105

Call (262) 549-6600 Map

Fax (262) 549-6698

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20673-130 (WI)

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

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About NPI 1104643675

Conrad Wynstra's National Provider Identifier is 1104643675, issued on Sep 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukesha, WI. The record was last updated on Sep 25, 2024.