person
James Kerckhove
Addiction (Substance Use Disorder) Counselor in Onalaska, Wisconsin
NPI 1326400722

James Kerckhove is an Addiction (Substance Use Disorder) Counselor based in Onalaska, WI and is specialized in Addiction (Substance Use Disorder). James Kerckhove practices in Onalaska, WI. The NPI Number for James Kerckhove is 1326400722 and holds a License No. 17423130 (Wisconsin).

The current practice location address for James Kerckhove is 9532 E 16 Frontage Rd, Onalaska, WI and can be reached out via phone at 608-783-0506.

Location: 9532 E 16 Frontage Rd, Onalaska, WI, 54650-6739
person
Provider Profile Details
NPI Number
1326400722
Provider Name
James Kerckhove
Credential
Provider Entity Type
Individual
Gender
Male
Address
9532 E 16 Frontage Rd, Onalaska, WI, 54650-6739
Phone Number
608-783-0506
Fax Number
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003150004 05 WI
institution
Provider Business Practice Location Address Details
Address
9532 E 16 Frontage Rd
City
State
Zip
54650-6739
Phone Number
608-783-0506
Fax Number
person
Provider Business Mailing Address Details
Address
9532 E 16 Frontage Rd
City
State
Zip
54650-6739
Phone Number
608-783-0506
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17423130 (Wisconsin)
Definition
Definition to come...
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