Individual provider · Type 1 NPI

Fred A. Boswell, CSAC, ICS

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1366720484 Active

Practice location

3707 N Richards St
Milwaukee, WI 53212-1673

Call (414) 967-7006 Map

Fax (414) 967-7020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11950-132 (WI)

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

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About NPI 1366720484

Fred A. Boswell, CSAC, ICS's National Provider Identifier is 1366720484, issued on Jul 22, 2011. 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 Apr 30, 2014.