person
Ms. Jean Marie Pruscha, CSAC,ICS
Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin
NPI 1225168891

Jean Marie Pruscha is an Addiction (Substance Use Disorder) Counselor based in Lake Geneva, WI and is specialized in Addiction (Substance Use Disorder). Jean Marie Pruscha practices in Racine, WI and has the professional credentials of CSAC,ICS. The NPI Number for Jean Marie Pruscha is 1225168891 and holds a License No. 11083-132 (Wisconsin).

The current practice location address for Jean Marie Pruscha is 840 Lake Ave, Racine, WI and can be reached out via phone at 262-634-8688 and via fax at 262-634-7547.

Location: 840 Lake Ave, Racine, WI, 53147-3532
person
Provider Profile Details
NPI Number
1225168891
Provider Name
Jean Marie Pruscha
Credential
CSAC,ICS
Provider Entity Type
Individual
Gender
Female
Address
840 Lake Ave, Racine, WI, 53147-3532
Phone Number
262-634-8688
Fax Number
262-634-7547
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39389200 05 WI
institution
Provider Business Practice Location Address Details
Address
840 Lake Ave
City
State
Zip
53403-1566
Phone Number
262-634-8688
Fax Number
262-634-7547
person
Provider Business Mailing Address Details
Address
840 Lake Ave
City
State
Zip
53403-1566
Phone Number
262-634-8688
Fax Number
262-634-7547
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11083-132 (Wisconsin)
Definition
Definition to come...
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