Individual provider · Type 1 NPI

Kimberly Brochtrup

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1396162012 Active

Practice location

607 W 7th St
Appleton, WI 54911-5923

Fax (920) 427-0540

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16698-130 (WI)

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

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About NPI 1396162012

Kimberly Brochtrup's National Provider Identifier is 1396162012, issued on Mar 19, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Mar 19, 2014.