Individual provider · Type 1 NPI

Richard R. Dettlaff, BS, CSAC

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1336299817 Active

Practice location

514 Riverview Ave
Waukesha, WI 53188-3631

Fax (262) 548-7656

Mailing address

W168S7024 Parkland Dr
Muskego, WI 53150-9441

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1355 (WI)

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

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About NPI 1336299817

Richard R. Dettlaff, BS, CSAC's National Provider Identifier is 1336299817, issued on Jan 10, 2007. 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 Dec 10, 2013.