Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDALL JOHN AMBROSIUS, MSW CADCIII LCSW
ActiveMR. RANDALL JOHN AMBROSIUS, MSW CADCIII LCSW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WISCONSIN RAPIDS, Wisconsin. NPI 1487720769 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WISCONSIN RAPIDS, WI
Registration Details
- NPI Number
- 1487720769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.682703104657 yrs)
- Last Updated
- Jan 29, 2008
- Licenses
-
1834 (WI)4186123 (WI)
Practice Information
- Address
-
2611 12TH ST SMENTAL HEALTH AODA CLINICWISCONSIN RAPIDS, WI, 54494Browse WI providers · Browse ZIP 54494
- Phone
- 7154218849
- Fax
- 7154212266
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Clinical Social Worker
Other Addiction (Substance Use Disorder) Counselor Providers in WISCONSIN RAPIDS, WI
| Name | Credential | NPI |
|---|---|---|
| JEAN R LEMANSKI | LPC, CSAC, ICS | 1497739486 |
| BETH ANN RUEHL | MA CADCIII | 1699841973 |
| MRS. CONNIE L NELSON | CADCIII | 1619043999 |
| RICHARD R KOPELKE | CADCIII | 1366518706 |
| LOUANNE PUFALL | CSAC | 1043496672 |
| TRACY RENDERMAN | SAC, IDP | 1205212453 |
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.