Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE M KUSSARD
ActiveSTACIE M KUSSARD is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1689992224 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SHEBOYGAN, WI
Registration Details
- NPI Number
- 1689992224
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2010 (16.244857462908 yrs)
- Last Updated
- Oct 22, 2015
- Licenses
-
5761-125 (WI)15810-132 (WI)
Practice Information
- Address
-
2842 S BUSINESS DRSHEBOYGAN, WI, 530816518Browse WI providers · Browse ZIP 53081
- Phone
- 9204586527
- Fax
- 9204586623
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in SHEBOYGAN, WI
| Name | Credential | NPI |
|---|---|---|
| MR. RALPH J RADEY JR. | CADC III CRPS CCSG | 1497731863 |
| SANDRA HARDIE | CADCIII, CCSII | 1821031857 |
| MR. KENT THOMAS KOLLATH | CSAC, CSIT | 1679748677 |
| LORI L BARIL | CSAC | 1245487602 |
| CATHY J AUGUSTINE | CSAC | 1689989048 |
| KELLY J JODAR | CSAC | 1114225216 |
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.