Individual provider · Type 1 NPI

Jacqueline Venesia McRae, ICS, SAC-IT

Addiction (Substance Use Disorder) Counselor · Mount Pleasant, WI

NPI number 1992290381 Active

Practice location

4810 Northwestern Ave
Mount Pleasant, WI 53406-1504

Fax (262) 637-9995

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18414-130 (WI)

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

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About NPI 1992290381

Jacqueline Venesia McRae, ICS, SAC-IT's National Provider Identifier is 1992290381, issued on Jun 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Pleasant, WI. The record was last updated on Jun 27, 2018.