Blake Prochnow
Blake Prochnow is an Addiction (Substance Use Disorder) Counselor in Prescott, Wisconsin. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1380 Walnut StPrescott, WI 54021-1010
Phone: (612) 382-3458
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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 |
|---|
Record details
| NPI number | 1164093860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 5, 2021 |
| Last updated in NPPES | July 5, 2021 |
| Certification date | July 5, 2021 |
| Mailing address | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 |