person
Stacie M Kussard
Addiction (Substance Use Disorder) Counselor in Sheboygan, Wisconsin
NPI 1689992224

Stacie M Kussard is an Addiction (Substance Use Disorder) Counselor based in Waukesha, WI and is specialized in Addiction (Substance Use Disorder). Stacie M Kussard practices in Sheboygan, WI. The NPI Number for Stacie M Kussard is 1689992224 and holds a License No. 5761-125 (Wisconsin).

The current practice location address for Stacie M Kussard is 2842 S Business Dr, Sheboygan, WI and can be reached out via phone at 920-458-6527 and via fax at 920-458-6623.

Location: 2842 S Business Dr, Sheboygan, WI, 53188-6105
person
Provider Profile Details
NPI Number
1689992224
Provider Name
Stacie M Kussard
Credential
Provider Entity Type
Individual
Gender
Female
Address
2842 S Business Dr, Sheboygan, WI, 53188-6105
Phone Number
920-458-6527
Fax Number
920-458-6623
Provider Enumeration Date
05/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2842 S Business Dr
City
State
Zip
53081-6518
Phone Number
920-458-6527
Fax Number
920-458-6623
person
Provider Business Mailing Address Details
Address
2842 S Business Dr
City
State
Zip
53081-6518
Phone Number
920-458-6527
Fax Number
920-458-6623
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15810-132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5761-125 (Wisconsin)
Definition
Definition to come...
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