Individual provider · Type 1 NPI

Jeanette Ksionek, CSAC

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1730451865 Active

Practice location

4000 W Spencer St
Appleton, WI 54914-4015

Fax (920) 735-9050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1155132 (WI)

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

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About NPI 1730451865

Jeanette Ksionek, CSAC's National Provider Identifier is 1730451865, issued on Feb 6, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Feb 6, 2012.