Individual
SUSAN SUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
W3272 WOLF RIVER DR, KESHENA, WI 54135-9202
(715) 799-3861
(715) 799-3517
Mailing address
PO BOX 280, KESHENA, WI 54135-0280
(715) 799-3861
(715) 799-3517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10865
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086054
—
WI
Enumeration date
02/06/2019
Last updated
05/09/2019
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