Individual provider · Type 1 NPI
Jeffrey D. Richardson, CSAC
Addiction (Substance Use Disorder) Counselor · Fond Du Lac, WI
NPI number
1386988293
Active
Practice location
757 S Main St, Suite 8
Fond Du Lac, WI 54935-5739
Fax (920) 731-1097
Mailing address
W175N11120 Stonewood Dr
Germantown, WI 53022-6511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15702-132 (WI) |
| Counselor | 101Y00000X | 15702-132 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in Fond Du Lac
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- Jennifer LaningAddiction (Substance Use Disorder) Counselor Fond Du Lac, WI NPI 1104196757
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- Alicia NeitzelAddiction (Substance Use Disorder) Counselor Fond Du Lac, WI NPI 1205329307
- Kathy Hoover, SAC-ITAddiction (Substance Use Disorder) Counselor Fond Du Lac, WI NPI 1215593298
- Kodi Denise Barthels, SAC-ITAddiction (Substance Use Disorder) Counselor Fond Du Lac, WI NPI 1225522089
About NPI 1386988293
Jeffrey D. Richardson, CSAC's National Provider Identifier is 1386988293, issued on Nov 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fond Du Lac, WI. The record was last updated on Nov 16, 2012.