Organization · Type 2 NPI
Qam
Addiction (Substance Use Disorder) Counselor · Racine, WI
NPI number
1457807091
Active
Practice location
5735 Durand Ave, A
Racine, WI 53406-5011
Fax (262) 598-1395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15532-132 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Racine
About NPI 1457807091
Qam's National Provider Identifier is 1457807091, issued on Sep 1, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Sep 1, 2016.