Individual
JOHN K LUZNICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
6510 W LAYTON AVE, SUITE 5, GREENFIELD, WI 53220-4573
(414) 763-7751
(414) 763-7755
Mailing address
6510 W LAYTON AVE, SUITE 5, GREENFIELD, WI 53220-4573
(414) 763-7751
(414) 763-7755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14240
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679951057
—
WI
Enumeration date
06/08/2006
Last updated
12/08/2016
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