Individual provider · Type 1 NPI

Kip Cameron Kussman, B.A.

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1619110012 Active

Practice location

561 N 15th St, 171A
Milwaukee, WI 53233-2237

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15775-130 (WI)

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

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About NPI 1619110012

Kip Cameron Kussman, B.A.'s National Provider Identifier is 1619110012, issued on Apr 14, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 14, 2009.