Kenneth A Sieczkowski, CADC-III
Counselor, Addiction (Substance Use Disorder) in Elm Grove, WI. Individual provider (NPI-1).
NPI number1154473809
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154473809
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth A Sieczkowski
- Credential
- CADC-III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 13092 | WI | Yes |
Practice location
12970 W Bluemound Rd308
Elm Grove, WI 53122-2607
Phone 262-780-1020 · Fax 262-780-1022
Mailing address
12970 W Bluemound Rd308
Elm Grove, WI 53122-2607
Phone 262-780-1020 · Fax 262-780-1022
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