person
Reginald C Christiansen, CADCIIILADC
Addiction (Substance Use Disorder) Counselor in Ellsworth, Wisconsin
NPI 1992878441

Reginald C Christiansen is an Addiction (Substance Use Disorder) Counselor based in Ellsworth, WI and is specialized in Addiction (Substance Use Disorder). Reginald C Christiansen practices in Ellsworth, WI and has the professional credentials of CADCIIILADC. The NPI Number for Reginald C Christiansen is 1992878441 and holds a License No. 812 (Wisconsin).

The current practice location address for Reginald C Christiansen is 412 W Kinne St, Ellsworth, WI and can be reached out via phone at 715-273-6770 and via fax at 715-273-6770.

Location: 412 W Kinne St, Ellsworth, WI, 54011-0670
person
Provider Profile Details
NPI Number
1992878441
Provider Name
Reginald C Christiansen
Credential
CADCIIILADC
Provider Entity Type
Individual
Gender
Male
Address
412 W Kinne St, Ellsworth, WI, 54011-0670
Phone Number
715-273-6770
Fax Number
715-273-6770
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39345400 05 WI
5H765CH 01 MN BLUECROSS BLUESHIELD
920461021641 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
412 W Kinne St
City
State
Zip
54011
Phone Number
715-273-6770
Fax Number
715-273-6770
person
Provider Business Mailing Address Details
Address
412 W Kinne St
City
State
Zip
54011
Phone Number
715-273-6770
Fax Number
715-273-6770
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
812 (Wisconsin)
Definition
Definition to come...
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