Individual provider · Type 1 NPI
John Nicholas Wirkus
Addiction (Substance Use Disorder) Counselor · Brookfield, WI
NPI number
1285641647
Active
Practice location
16535 W Bluemound Rd
Brookfield, WI 53005-5936
Fax (262) 821-6180
Mailing address
111 West St
Johnson Creek, WI 53038-9503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1006 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1285641647
John Nicholas Wirkus's National Provider Identifier is 1285641647, issued on Aug 1, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brookfield, WI. The record was last updated on Jul 8, 2007.