person
John Thomas Kettler, CSAC,LPC-IT
Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin
NPI 1912236845

John Thomas Kettler is an Addiction (Substance Use Disorder) Counselor based in Waukesha, WI and is specialized in Addiction (Substance Use Disorder). John Thomas Kettler practices in Waukesha, WI and has the professional credentials of CSAC,LPC-IT. The NPI Number for John Thomas Kettler is 1912236845 and holds a License No. 1016-226 (Wisconsin).

The current practice location address for John Thomas Kettler is 500 Riverview Ave, Waukesha, WI and can be reached out via phone at 262-548-7666 and via fax at 262-548-7656.

Location: 500 Riverview Ave, Waukesha, WI, 53188-3632
person
Provider Profile Details
NPI Number
1912236845
Provider Name
John Thomas Kettler
Credential
CSAC,LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
500 Riverview Ave, Waukesha, WI, 53188-3632
Phone Number
262-548-7666
Fax Number
262-548-7656
Provider Enumeration Date
12/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Riverview Ave
City
State
Zip
53188-3632
Phone Number
262-548-7666
Fax Number
262-548-7656
person
Provider Business Mailing Address Details
Address
500 Riverview Ave
City
State
Zip
53188-3632
Phone Number
262-548-7666
Fax Number
262-548-7656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15594-132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1016-226 (Wisconsin)
Definition
Definition to come...
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