Individual
KEVIN SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19115 W CAPITOL DR STE 117, BROOKFIELD, WI 53045-2754
(262) 781-0240
(262) 363-0148
Mailing address
19115 W CAPITOL DR STE 117, BROOKFIELD, WI 53045-2754
(262) 781-0240
(262) 373-0148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16763-130
WI
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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