Individual
SAMUEL KREBSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APSW, SAC - IT
Contact information
Practice address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 476-3710
Mailing address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17284
WI
104100000X
Social Worker
Primary
129620
WI
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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