Individual provider · Type 1 NPI
Kristie Lervick, LADC
Addiction (Substance Use Disorder) Counselor · St. Croix Falls, WI
NPI number
1861843385
Active
Practice location
1 St Croix Lofts Dr, 101
St. Croix Falls, WI 54024-9127
Mailing address
1 St Croix Lofts Drive, 101
St. Croix Falls, WI 54024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302539 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1861843385
Kristie Lervick, LADC's National Provider Identifier is 1861843385, issued on Jun 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Croix Falls, WI. The record was last updated on Jun 27, 2016.