Individual
ANNE SKRUPKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE,PCTL, SACIT
Contact information
Practice address
3240 JACKSON ST, OSHKOSH, WI 54901-1208
(920) 231-0143
(920) 231-4246
Mailing address
3240 JACKSON ST, OSHKOSH, WI 54901-1208
(920) 231-0143
(920) 231-4246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16249-130
WI
101YM0800X
Mental Health Counselor
Primary
932-226
WI
Other
Enumeration date
11/17/2011
Last updated
02/01/2012
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