Individual provider · Type 1 NPI

Carrie F. Kubasta, CSAC, SW

Addiction (Substance Use Disorder) Counselor · Menasha, WI

NPI number 1861711533 Active

Practice location

1095 Midway Rd
Menasha, WI 54952-1115

Fax (920) 720-3719

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15318 (WI)
Social Worker 104100000X8289 (WI)

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

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About NPI 1861711533

Carrie F. Kubasta, CSAC, SW's National Provider Identifier is 1861711533, issued on May 20, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Menasha, WI. The record was last updated on Nov 10, 2015.