Doctor Name: | BEN J SEBRANEK |
NPI Number: | 1033272042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CADC III |
License Number: | |
Business Practice Address: | 2661 County Highway I Chippewa Falls, WI - 547295407 |
Business Phone Number: | 7157235585 |
Business Fax Number: | 7157263504 |
Mailing Address: | 1403 Edgewood Dr, ALTOONA |
State: | WI |
Postal Code: | 547202529 |
Phone Number: | 7158355436 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |