Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERALD WISTEIN, ICS, CSAC, MSW
ActiveMR. GERALD WISTEIN, ICS, CSAC, MSW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MONONA, Wisconsin. NPI 1073756623 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MONONA, WI
Registration Details
- NPI Number
- 1073756623
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2009 (17.155252640029 yrs)
- Last Updated
- Jun 8, 2016
- Licenses
-
1541-132 (WI)955-120 (WI)
Practice Information
- Address
-
300 FEMRITE DRMONONA, WI, 537163716Browse WI providers · Browse ZIP 53716
- Phone
- 6082048491
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Social Worker
Other Addiction (Substance Use Disorder) Counselor Providers in MONONA, WI
| Name | Credential | NPI |
|---|---|---|
| CHARLES ANTHONY DORAM | CSAC | 1346494895 |
| JOHN ANDREW SMITH | LPC, CASC, ICS | 1396974283 |
| RENEE SALTZMAN | LPC, RDT | 1124465216 |
| KRISTINA MODAFF | — | 1861899718 |
| DANIELLE BAILEY | — | 1598209280 |
| SARA JANE ALLEE-JATTA | CSAC, CSIT, SAP | 1215477542 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.