Individual
CRAIG ALAN BRUESEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICAL SUBSTANCE
Contact information
Practice address
1421 FOND DU LAC AVENUE, KEWASHUM, WI 53040
(262) 626-4166
(262) 626-8431
Mailing address
1421 FOND DU LAC AVENUE, KEWASHUM, WI 53040
(262) 626-4166
(262) 626-8431
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2091132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
DHS 75.14 #2598
WI
Other
Enumeration date
03/10/2008
Last updated
03/26/2014
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