Individual provider · Type 1 NPI
Craig Alan Bruesewitz, CLINICAL SUBSTANCE
Addiction (Substance Use Disorder) Counselor · Kewashum, WI
NPI number
1902076698
Active
Practice location
1421 Fond Du Lac Avenue
Kewashum, WI 53040
Fax (262) 626-8431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 2091132 (WI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | DHS 75.14 #2598 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1902076698
Craig Alan Bruesewitz, CLINICAL SUBSTANCE's National Provider Identifier is 1902076698, issued on Mar 10, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kewashum, WI. The record was last updated on Mar 26, 2014.