| Doctor Name: | RENEE M JANUSZ |
| NPI Number: | 1013049204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSAC |
| License Number: | 1954 |
| Business Practice Address: | 333 E Washington St Ste 2000 West Bend, WI - 530952502 |
| Business Phone Number: | 2623354545 |
| Business Fax Number: | 2623356827 |
| Mailing Address: | 333 E Washington St Ste 2000, WEST BEND |
| State: | WI |
| Postal Code: | 530952502 |
| Phone Number: | 2623354545 |
| Fax Number: | 2623356827 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |