Individual provider · Type 1 NPI

Randall John Ambrosius, MSW CADCIII LCSW

Addiction (Substance Use Disorder) Counselor · Wisconsin Rapids, WI

NPI number 1487720769 Active

Practice location

2611 12th St S, Mental Health Aoda Clinic
Wisconsin Rapids, WI 54494

Fax (715) 421-2266

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1834 (WI)
Clinical Social Worker 1041C0700X4186123 (WI)

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

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About NPI 1487720769

Randall John Ambrosius, MSW CADCIII LCSW's National Provider Identifier is 1487720769, issued on Nov 28, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wisconsin Rapids, WI. The record was last updated on Jan 29, 2008.