Individual provider · Type 1 NPI
Evangeline M. Suquet, MAC, CSAC, LPC, CSIT
Addiction (Substance Use Disorder) Counselor · Black River Falls, WI
NPI number
1912147828
Active
Practice location
W9850 Airport Road
Black River Falls, WI 54615
Fax (715) 284-3434
Mailing address
PO Box 918, W9850 Airport Road
Black River Falls, WI 54615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15705-132 (WI) |
| Mental Health Counselor | 101YM0800X | 5231-125 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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- Steven J. Firkins, MS, LCSW, CSACAddiction (Substance Use Disorder) Counselor Black River Falls, WI NPI 1972533958
About NPI 1912147828
Evangeline M. Suquet, MAC, CSAC, LPC, CSIT's National Provider Identifier is 1912147828, issued on Mar 5, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Black River Falls, WI. The record was last updated on Oct 20, 2016.