Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jean Marie Pruscha, CSAC, ICS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225168891

MS. Jean Marie Pruscha, CSAC, ICS is an Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

840 Lake Ave Ste 101
Racine, WI 53403-1566
Phone: (262) 634-8688
Fax: (262) 634-7547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11083-132 (WI)

Record details

NPI number1225168891
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC , ICS
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 9, 2007

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