Mr. Wallace Edward Brandies Jr., CSACICS
Mr. Wallace Edward Brandies Jr., CSACICS is an Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
1717 Taylor AveRacine, WI 53403-2405
Phone: (262) 638-6635
Fax: (262) 638-6540
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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 15295-132 (WI) |
|---|
Record details
| NPI number | 1811595671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSACICS |
| Sole proprietor | No |
| NPI enumerated | October 14, 2020 |
| Last updated in NPPES | October 14, 2020 |
| Certification date | October 14, 2020 |
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