Individual provider · Type 1 NPI

Krystal Bourgeois, BSW, SAC-IT

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1982154779 Active

Practice location

2677 N 40th St
Milwaukee, WI 53210-2505

Call (414) 447-1965 Map

Fax (414) 447-1964

Mailing address

8801 W Oklahoma Ave Apt 210
Milwaukee, WI 53227-4571

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16764-130 (WI)

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

8 other providers at this address

Other addiction (substance use disorder) counselor providers in Milwaukee

See all in Milwaukee →

About NPI 1982154779

Krystal Bourgeois, BSW, SAC-IT's National Provider Identifier is 1982154779, issued on Oct 5, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 16, 2017.