person
Mr. James Edward Subrod, SAC
Addiction (Substance Use Disorder) Counselor in Burlington, Wisconsin
NPI 1811269004

James Edward Subrod is an Addiction (Substance Use Disorder) Counselor based in Burlington, WI and is specialized in Addiction (Substance Use Disorder). James Edward Subrod practices in Burlington, WI and has the professional credentials of SAC. The NPI Number for James Edward Subrod is 1811269004 and holds a License No. 11645-130 (Wisconsin).

The current practice location address for James Edward Subrod is 201 N Pine St, Burlington, WI and can be reached out via phone at 262-767-0441.

Location: 201 N Pine St, Burlington, WI, 53105-1811
person
Provider Profile Details
NPI Number
1811269004
Provider Name
James Edward Subrod
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
201 N Pine St, Burlington, WI, 53105-1811
Phone Number
262-767-0441
Fax Number
Provider Enumeration Date
02/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 N Pine St
City
State
Zip
53105-1935
Phone Number
262-767-0441
Fax Number
person
Provider Business Mailing Address Details
Address
201 N Pine St
City
State
Zip
53105-1935
Phone Number
262-767-0441
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11645-130 (Wisconsin)
Definition
Definition to come...
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