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Individual
BRIAN WEXLER
Active
Individual
BRIAN WEXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LPC, CADC-D
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13626
WI
101YP2500X
Professional Counselor
Primary
3352-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43570600
—
WI
Enumeration date
08/31/2006
Last updated
01/04/2008
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