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Individual

CRAIG BARNEKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
25 KESSEL COURT, SUITE 200, MADISON, WI 53711
(608) 278-8200
(608) 278-8204
Mailing address
25 KESSEL CT, SUITE 200, MADISON, WI 53711-6227
(608) 278-8200
(608) 278-8204

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11837
WI
101YM0800X
Mental Health Counselor
2683
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39767600
WI
Enumeration date
04/25/2007
Last updated
10/27/2007
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