Individual
CHRISTOPHER FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
6233 BANKERS RD, SUITE 10, RACINE, WI 53403-9700
(262) 549-6600
(262) 549-6698
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15900130
WI
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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