person
Bruce A Wilber JR., SAC
Addiction (Substance Use Disorder) Counselor in Gresham, Wisconsin
NPI 1003063157

Bruce A Wilber JR. is an Addiction (Substance Use Disorder) Counselor based in Gresham, WI and is specialized in Addiction (Substance Use Disorder). Bruce A Wilber JR. practices in Gresham, WI and has the professional credentials of SAC. The NPI Number for Bruce A Wilber JR. is 1003063157 and holds a License No. 15433131 (Wisconsin).

The current practice location address for Bruce A Wilber JR. is N2150 Kesaehkahtek Rd, Gresham, WI and can be reached out via phone at 715-799-3835 and via fax at 715-799-3836.

Location: N2150 Kesaehkahtek Rd, Gresham, WI, 54128-9602
person
Provider Profile Details
NPI Number
1003063157
Provider Name
Bruce A Wilber JR.
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
N2150 Kesaehkahtek Rd, Gresham, WI, 54128-9602
Phone Number
715-799-3835
Fax Number
715-799-3836
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41162800 05 WI
institution
Provider Business Practice Location Address Details
Address
N2150 Kesaehkahtek Rd
City
State
Zip
54128-9602
Phone Number
715-799-3835
Fax Number
715-799-3836
person
Provider Business Mailing Address Details
Address
N2150 Kesaehkahtek Rd
City
State
Zip
54128-9602
Phone Number
715-799-3835
Fax Number
715-799-3836
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15433131 (Wisconsin)
Definition
Definition to come...
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