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Ms. Krystal Bourgeois, BSW,SAC-IT
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1982154779

Krystal Bourgeois is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Krystal Bourgeois practices in Milwaukee, WI and has the professional credentials of BSW,SAC-IT. The NPI Number for Krystal Bourgeois is 1982154779 and holds a License No. 16764-130 (Wisconsin).

The current practice location address for Krystal Bourgeois is 2677 N 40Th St, Milwaukee, WI and can be reached out via phone at 414-447-1965 and via fax at 414-447-1964.

Location: 2677 N 40Th St, Milwaukee, WI, 53227-4571
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Provider Profile Details
NPI Number
1982154779
Provider Name
Krystal Bourgeois
Credential
BSW,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
2677 N 40Th St, Milwaukee, WI, 53227-4571
Phone Number
414-447-1965
Fax Number
414-447-1964
Provider Enumeration Date
10/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261QM0801X 05 WI
institution
Provider Business Practice Location Address Details
Address
2677 N 40Th St
City
State
Zip
53210-2505
Phone Number
414-447-1965
Fax Number
414-447-1964
person
Provider Business Mailing Address Details
Address
2677 N 40Th St
City
State
Zip
53210-2505
Phone Number
414-447-1965
Fax Number
414-447-1964
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16764-130 (Wisconsin)
Definition
Definition to come...
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