Individual provider · Type 1 NPI

Jessica G. Kerckhove, BA, SAC

Addiction (Substance Use Disorder) Counselor · Menomonie, WI

NPI number 1437394285 Active

Practice location

320 21st St N
Menomonie, WI 54751-2228

Call (715) 235-4537 Map

Mailing address

5533 166th St
Chippewa Falls, WI 54729-6916

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15453-131 (WI)

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

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About NPI 1437394285

Jessica G. Kerckhove, BA, SAC's National Provider Identifier is 1437394285, issued on Dec 9, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Menomonie, WI. The record was last updated on Dec 9, 2008.