person
Mr. Wallace Edward Brandies JR., CSACICS
Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin
NPI 1811595671

Wallace Edward Brandies JR. is an Addiction (Substance Use Disorder) Counselor based in Racine, WI and is specialized in Addiction (Substance Use Disorder). Wallace Edward Brandies JR. practices in Racine, WI and has the professional credentials of CSACICS. The NPI Number for Wallace Edward Brandies JR. is 1811595671 and holds a License No. 15295-132 (Wisconsin).

The current practice location address for Wallace Edward Brandies JR. is 1717 Taylor Ave, Racine, WI and can be reached out via phone at 262-638-6635 and via fax at 262-638-6540.

Location: 1717 Taylor Ave, Racine, WI, 53403-2405
person
Provider Profile Details
NPI Number
1811595671
Provider Name
Wallace Edward Brandies JR.
Credential
CSACICS
Provider Entity Type
Individual
Gender
Male
Address
1717 Taylor Ave, Racine, WI, 53403-2405
Phone Number
262-638-6635
Fax Number
262-638-6540
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1717 Taylor Ave
City
State
Zip
53403-2405
Phone Number
262-638-6635
Fax Number
262-638-6540
person
Provider Business Mailing Address Details
Address
1717 Taylor Ave
City
State
Zip
53403-2405
Phone Number
262-638-6635
Fax Number
262-638-6540
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15295-132 (Wisconsin)
Definition
Definition to come...
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