person
Mr. Kim N Conrad, CSAC,ICS
Addiction (Substance Use Disorder) Counselor in Janesville, Wisconsin
NPI 1376711671

Kim N Conrad is an Addiction (Substance Use Disorder) Counselor based in Waukesha, WI and is specialized in Addiction (Substance Use Disorder). Kim N Conrad practices in Janesville, WI and has the professional credentials of CSAC,ICS. The NPI Number for Kim N Conrad is 1376711671 and holds a License No. 11905-134 & 1806-132 (Wisconsin).

The current practice location address for Kim N Conrad is 612 N Randall Ave Ste A, Janesville, WI and can be reached out via phone at 608-752-7660 and via fax at 608-752-9788.

Location: 612 N Randall Ave Ste A, Janesville, WI, 53188-3311
person
Provider Profile Details
NPI Number
1376711671
Provider Name
Kim N Conrad
Credential
CSAC,ICS
Provider Entity Type
Individual
Gender
Male
Address
612 N Randall Ave Ste A, Janesville, WI, 53188-3311
Phone Number
608-752-7660
Fax Number
608-752-9788
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
612 N Randall Ave Ste A
City
State
Zip
53545-1958
Phone Number
608-752-7660
Fax Number
608-752-9788
person
Provider Business Mailing Address Details
Address
612 N Randall Ave Ste A
City
State
Zip
53545-1958
Phone Number
608-752-7660
Fax Number
608-752-9788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11905-134 & 1806-132 (Wisconsin)
Definition
Definition to come...
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