Individual provider · Type 1 NPI
Bradley Ray Hawbecker, SAC 15654-131
Addiction (Substance Use Disorder) Counselor · Beloit, WI
NPI number
1235316381
Active
Practice location
2240 Praire Ave, 10
Beloit, WI 53511-2940
Fax (608) 361-7201
Mailing address
2422 N Grandview Blvd
Waukesha, WI 53188-6105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15654-131 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1235316381
Bradley Ray Hawbecker, SAC 15654-131's National Provider Identifier is 1235316381, issued on Jan 30, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beloit, WI. The record was last updated on Aug 18, 2011.