Qam
Qam is an Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
Practice location Address checks out
5735 Durand Ave ARacine, WI 53406-5011
Phone: (262) 598-1392
Fax: (262) 598-1395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 15532-132 (WI) |
|---|
Record details
| NPI number | 1457807091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Mason — Clinic Director · (262) 598-1392 |
| Other names | Racine Comprehensive Treatment Center |
| NPI enumerated | September 1, 2016 |
| Last updated in NPPES | September 1, 2016 |
| Mailing address | 5735 Durand Ave, A, Racine, WI 53406-5011 |
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