Individual
THOMAS DENEEN RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 COUNTY ROAD DF, JUNEAU, WI 53039-9512
(920) 386-4094
Mailing address
199 COUNTY ROAD DF, JUNEAU, WI 53039-9512
(920) 386-4094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18424130
WI
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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