Individual provider · Type 1 NPI
Kevin Rich, CSAC-IT
Addiction (Substance Use Disorder) Counselor · Greendale, WI
NPI number
1790030294
Active
Practice location
6400 Industrial Loop
Greendale, WI 53129-2452
Fax (414) 423-4134
Mailing address
2821 N 4th St, Suite 139
Milwaukee, WI 53212-2362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16650-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1790030294
Kevin Rich, CSAC-IT's National Provider Identifier is 1790030294, issued on Jul 20, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greendale, WI. The record was last updated on Jul 20, 2012.