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Individual

JOSEPH C BURCLAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
279 ROSS AVE, SCHOFIELD, WI 54476-1869
(157) 496-6273
(715) 650-9136
Mailing address
279 ROSS AVE, SCHOFIELD, WI 54476-1869
(157) 496-6273
(715) 650-9136

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15785
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
3671-226
WI
101YP2500X
Professional Counselor
Primary
7691125
WI
104100000X
Social Worker
7691
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15785-131
STATE LICENSE
WI
Enumeration date
12/10/2010
Last updated
10/17/2024
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