Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KIP CAMERON KUSSMAN, B.A.

Active

MR. KIP CAMERON KUSSMAN, B.A. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MILWAUKEE, Wisconsin. NPI 1619110012 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · MILWAUKEE, WI

Registration Details

NPI Number: 1619110012
Provider Type: Individual
Gender: Male
NPI Issued: Apr 14, 2009 (17.30232602228 yrs)
Last Updated: Apr 14, 2009
License: 15775-130 (WI)

Practice Information

Address: 561 N 15TH ST

171A

MILWAUKEE, WI, 532332237
Browse WI providers · Browse ZIP 53233
Phone: 4142884556
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in MILWAUKEE, WI

Name	Credential	NPI
LORIE GOESER	CADC, COTA, CSAC	1255397774
NADINE MELESKI	CADC III, RCS	1750302956
MRS. PAMELA HOWARD BLASZAK	LPC, CSAC	1316953953
MR. DANIEL NOWAK	CADCIII	1568478105
MARTHA WILLIAMSON	CSAC, ICS	1720095318
DAVID GEIER	MS BS BA CADCIII	1689786329

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.