Individual
OLIN KIRK YAUCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3011 SAYLESVILLE RD, WAUKESHA, WI 53189
(262) 928-6900
(262) 928-3815
Mailing address
3011 SAYLESVILLE RD, WAUKESHA, WI 53189
(262) 928-6900
(262) 928-3815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13936131
WI
1041C0700X
Clinical Social Worker
7117123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43706200
—
WI
Enumeration date
06/02/2006
Last updated
12/19/2007
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