Individual provider · Type 1 NPI
Gary Gene Grote, CSAC
Addiction (Substance Use Disorder) Counselor · Wausau, WI
NPI number
1457493280
Active
Practice location
114 Grand Ave
Wausau, WI 54403-6214
Fax (715) 845-7142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15180 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457493280
Gary Gene Grote, CSAC's National Provider Identifier is 1457493280, issued on Feb 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wausau, WI. The record was last updated on Nov 9, 2016.