Individual provider · Type 1 NPI

Kerrie Jo Larsonkerkman, CSAC

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1407045966 Active

Practice location

1531 S Madison St
Appleton, WI 54915-1800

Mailing address

40 Jewelers Park Dr Ste 200
Neenah, WI 54956-3893

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2153-132 (WI)

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

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About NPI 1407045966

Kerrie Jo Larsonkerkman, CSAC's National Provider Identifier is 1407045966, issued on Oct 22, 2007. 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 Feb 15, 2019.