Individual
STEVEN J FIRKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCSW,CSAC
Contact information
Practice address
703 ROSE ST, BLACK RIVER FALLS, WI 54615-9201
(715) 284-4058
Mailing address
703 ROSE ST, BLACK RIVER FALLS, WI 54615-9201
(715) 284-4058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1306-132
WI
101YM0800X
Mental Health Counselor
2904123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306-132
CLINICAL SUBSTANCE ABUSE
WI
01
—
2904-123
CLINICAL SOCIAL WORKER
WI
05
—
39264100
—
WI
Enumeration date
07/04/2006
Last updated
03/04/2016
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