John Thomas Kettler, CSAC, LPC-IT
John Thomas Kettler, CSAC, LPC-IT is a Professional Counselor in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.
- Licensed in
- WI
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
500 Riverview AveWaukesha, WI 53188-3632
Phone: (262) 548-7666
Fax: (262) 548-7656
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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 15594-132 (WI) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 1016-226 (WI) |
Record details
| NPI number | 1912236845 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSAC , LPC-IT |
| Sole proprietor | No |
| NPI enumerated | December 24, 2009 |
| Last updated in NPPES | October 20, 2011 |
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