Individual
BEN J SEBRANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CADC III
Contact information
Practice address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 723-5585
(715) 726-3504
Mailing address
1403 EDGEWOOD DR, ALTOONA, WI 54720-2529
(715) 835-5436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39398100
—
WI
Enumeration date
12/19/2006
Last updated
07/08/2007
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