person
Mr. Richard R. Dettlaff, BS,CSAC
Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin
NPI 1336299817

Richard R. Dettlaff is an Addiction (Substance Use Disorder) Counselor based in Muskego, WI and is specialized in Addiction (Substance Use Disorder). Richard R. Dettlaff practices in Waukesha, WI and has the professional credentials of BS,CSAC. The NPI Number for Richard R. Dettlaff is 1336299817 and holds a License No. 1355 (Wisconsin).

The current practice location address for Richard R. Dettlaff is 514 Riverview Ave, Waukesha, WI and can be reached out via phone at 262-548-7666 and via fax at 262-548-7656.

Location: 514 Riverview Ave, Waukesha, WI, 53150-9441
person
Provider Profile Details
NPI Number
1336299817
Provider Name
Richard R. Dettlaff
Credential
BS,CSAC
Provider Entity Type
Individual
Gender
Male
Address
514 Riverview Ave, Waukesha, WI, 53150-9441
Phone Number
262-548-7666
Fax Number
262-548-7656
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
514 Riverview Ave
City
State
Zip
53188-3631
Phone Number
262-548-7666
Fax Number
262-548-7656
person
Provider Business Mailing Address Details
Address
514 Riverview Ave
City
State
Zip
53188-3631
Phone Number
262-548-7666
Fax Number
262-548-7656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1355 (Wisconsin)
Definition
Definition to come...
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