Individual
BRUCE M EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, SAP
Contact information
Practice address
2620 STEIN BLVD, EAU CLAIRE, WI 54701-6201
(715) 836-0064
(715) 836-0065
Mailing address
2620 STEIN BLVD, EAU CLAIRE, WI 54701-6201
(715) 836-0064
(715) 836-0065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1997
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39364700
—
WI
Enumeration date
10/19/2006
Last updated
06/17/2015
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