person
Kenneth L. Buckwheat, CSAC
Addiction (Substance Use Disorder) Counselor in Ashland, Wisconsin
NPI 1336269422

Kenneth L. Buckwheat is an Addiction (Substance Use Disorder) Counselor based in Ashland, WI and is specialized in Addiction (Substance Use Disorder). Kenneth L. Buckwheat practices in Ashland, WI and has the professional credentials of CSAC. The NPI Number for Kenneth L. Buckwheat is 1336269422 and holds a License No. 11955-134 (Wisconsin).

The current practice location address for Kenneth L. Buckwheat is 502 Main St W Ste 305, Ashland, WI and can be reached out via phone at 715-682-5207 and via fax at 715-682-5209.

Location: 502 Main St W Ste 305, Ashland, WI, 54806-3133
person
Provider Profile Details
NPI Number
1336269422
Provider Name
Kenneth L. Buckwheat
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
502 Main St W Ste 305, Ashland, WI, 54806-3133
Phone Number
715-682-5207
Fax Number
715-682-5209
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39330400 05 WI
institution
Provider Business Practice Location Address Details
Address
502 Main St W Ste 305
City
State
Zip
54806-1512
Phone Number
715-682-5207
Fax Number
715-682-5209
person
Provider Business Mailing Address Details
Address
502 Main St W Ste 305
City
State
Zip
54806-1512
Phone Number
715-682-5207
Fax Number
715-682-5209
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11955-134 (Wisconsin)
Definition
Definition to come...
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