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

MS. Krystal Bourgeois, BSW, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1982154779

MS. Krystal Bourgeois, BSW, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016

Practice location Address checks out

2677 N 40th St
Milwaukee, WI 53210-2505
Phone: (414) 447-1965
Fax: (414) 447-1964
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 16764-130 (WI)

Record details

NPI number1982154779
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW , SAC-IT
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESFebruary 16, 2017

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