Individual
GREGORY JOHN KRESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, SAC
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12116-131
WI
1041C0700X
Clinical Social Worker
Primary
3777-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12116-131
SAC - LICENSE
WI
01
—
3777-123
LCSW - LICENSE
WI
Enumeration date
09/06/2006
Last updated
04/15/2013
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