person
Mr. Jacob P Spangenberg, CSAC
Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin
NPI 1043510084

Jacob P Spangenberg is an Addiction (Substance Use Disorder) Counselor based in Green Bay, WI and is specialized in Addiction (Substance Use Disorder). Jacob P Spangenberg practices in Green Bay, WI and has the professional credentials of CSAC. The NPI Number for Jacob P Spangenberg is 1043510084 and holds a License No. 15832-132 (Wisconsin).

The current practice location address for Jacob P Spangenberg is 2979 Allied St, Green Bay, WI and can be reached out via phone at 920-337-6740 and via fax at 920-337-6741.

Location: 2979 Allied St, Green Bay, WI, 54304-5567
person
Provider Profile Details
NPI Number
1043510084
Provider Name
Jacob P Spangenberg
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
2979 Allied St, Green Bay, WI, 54304-5567
Phone Number
920-337-6740
Fax Number
920-337-6741
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10063000 05 WI
institution
Provider Business Practice Location Address Details
Address
2979 Allied St
City
State
Zip
54304-5567
Phone Number
920-337-6740
Fax Number
920-337-6741
person
Provider Business Mailing Address Details
Address
2979 Allied St
City
State
Zip
54304-5567
Phone Number
920-337-6740
Fax Number
920-337-6741
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15832-132 (Wisconsin)
Definition
Definition to come...
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