person
Calvin James Brace, SAC-IT
Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin
NPI 1780040543

Calvin James Brace is an Addiction (Substance Use Disorder) Counselor based in Madison, WI and is specialized in Addiction (Substance Use Disorder). Calvin James Brace practices in Madison, WI and has the professional credentials of SAC-IT. The NPI Number for Calvin James Brace is 1780040543 and holds a License No. 17156-130 (Wisconsin).

The current practice location address for Calvin James Brace is 151 E Badger Rd, Madison, WI and can be reached out via phone at 608-250-2512 and via fax at 608-250-2516.

Location: 151 E Badger Rd, Madison, WI, 53713-2708
person
Provider Profile Details
NPI Number
1780040543
Provider Name
Calvin James Brace
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
151 E Badger Rd, Madison, WI, 53713-2708
Phone Number
608-250-2512
Fax Number
608-250-2516
Provider Enumeration Date
01/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629282470 01 WI EMPLOYER IDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
151 E Badger Rd
City
State
Zip
53713-2708
Phone Number
608-250-2512
Fax Number
608-250-2516
person
Provider Business Mailing Address Details
Address
151 E Badger Rd
City
State
Zip
53713-2708
Phone Number
608-250-2512
Fax Number
608-250-2516
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17156-130 (Wisconsin)
Definition
Definition to come...
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