person
Richard R Kopelke, CADCIII
Addiction (Substance Use Disorder) Counselor in Wisconsin Rapids, Wisconsin
NPI 1366518706

Richard R Kopelke is an Addiction (Substance Use Disorder) Counselor based in Wisconsin Rapids, WI and is specialized in Addiction (Substance Use Disorder). Richard R Kopelke practices in Wisconsin Rapids, WI and has the professional credentials of CADCIII. The NPI Number for Richard R Kopelke is 1366518706 and holds a License No. 1289 (Wisconsin).

The current practice location address for Richard R Kopelke is 2611 12Th St S, Wisconsin Rapids, WI and can be reached out via phone at 715-421-8800 and via fax at 715-421-2266.

Location: 2611 12Th St S, Wisconsin Rapids, WI, 54494
person
Provider Profile Details
NPI Number
1366518706
Provider Name
Richard R Kopelke
Credential
CADCIII
Provider Entity Type
Individual
Gender
Male
Address
2611 12Th St S, Wisconsin Rapids, WI, 54494
Phone Number
715-421-8800
Fax Number
715-421-2266
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39332500 05 WI
institution
Provider Business Practice Location Address Details
Address
2611 12Th St S
City
State
Zip
54494
Phone Number
715-421-8800
Fax Number
715-421-2266
person
Provider Business Mailing Address Details
Address
2611 12Th St S
City
State
Zip
54494
Phone Number
715-421-8800
Fax Number
715-421-2266
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1289 (Wisconsin)
Definition
Definition to come...
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