Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE VENESIA MCRAE, ICS, SAC-IT
Active Sole ProprietorJACQUELINE VENESIA MCRAE, ICS, SAC-IT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1992290381 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MOUNT PLEASANT, WI
Registration Details
- NPI Number
- 1992290381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2018 (7.9483126848579 yrs)
- Last Updated
- Jun 27, 2018
- License
-
18414-130 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4810 NORTHWESTERN AVEMOUNT PLEASANT, WI, 534061504Browse WI providers · Browse ZIP 53406
- Phone
- 2626379984
- Fax
- 2626379995
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MOUNT PLEASANT, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. AMANDA MARIA RODRIGUEZ | CSAC, CSIT | 1629412580 |
| MR. RICKY A PERSON SR. | CSAC. ICS | 1144651159 |
| MS. CAROLINE DANIELA BONILLA | MASTER OF SCIENCE | 1932577186 |
| MR. ANDREWS KING | NO. 16927 - 130 | 1215300538 |
| SETH OKETCH | CSAC | 1922544881 |
| TERRI LEE WALLOW | SACIT | 1568023943 |
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.