Craig Alan Bruesewitz in Kewashum - Counselor
Craig Alan Bruesewitz - NPI 1902076698
Craig Alan Bruesewitz is a Counselor in Kewashum, Wisconsin. Craig Alan Bruesewitz practices all healthcare services and medical treatments related to Counselor. The NPI Number for Craig Alan Bruesewitz is 1902076698. The last update date is 2014-03-26.
Craig Alan Bruesewitz's current location address is 1421 Fond Du Lac Avenue, Kewashum, Wisconsin. You can contact this provider via phone number 2626264166 and fax number 2626268431. The mailing address for Craig Alan Bruesewitz is 1421 Fond Du Lac Avenue, Kewashum, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Alan Bruesewitz |
|---|---|
| Address | 1421 Fond Du Lac Avenue, Kewashum, Wisconsin |
| Phone Number | 2626264166 |
| Fax Number | 2626268431 |
| Sole Proprietor | N |
| Credentials | CLINICAL S |
NPI Number Detail
| NPI Number | 1902076698 |
|---|---|
| Provider Enumeration Date | 2008-03-10 |
| Last Updated Date | 2014-03-26 |
Provider Mailing Address Detail
| Address | 1421 Fond Du Lac Avenue |
|---|---|
| City | Kewashum |
| State | Wisconsin (WI) |
| Post Code | 53040 |
| Phone Number | 2626264166 |
| Fax Number | 2626268431 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 2091132 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identifier code issued to Craig Alan Bruesewitz by the Centers for Medicare & Medicaid Services?
The Craig Alan Bruesewitz has been assigned the NPI (National Provider Identifier) 1902076698. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Craig Alan Bruesewitz's physical address?
The Craig Alan Bruesewitz is physically located at 1421 Fond Du Lac Avenue, in the city of Kewashum, WI, with the postal code 53040.
What is Craig Alan Bruesewitz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Craig Alan Bruesewitz is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Craig Alan Bruesewitz receive its 1902076698 assignment from the Centers for Medicare & Medicaid Services?
The Craig Alan Bruesewitz was assigned its 1902076698 by the Centers for Medicare & Medicaid Services on 2008-03-10.
As of what date was the information pertaining to Craig Alan Bruesewitz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Craig Alan Bruesewitz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY