NPI 1386984433

Jeffrey Alphonse Schroeder, CSAC

Practitioner Addiction (Substance Use Disorder) Counselor Fort Atkinson, WI

Practice location

Address: 210 Milwaukee Ave W, Fort Atkinson, WI 53538-2022
Phone: (920) 568-5046
Fax: (920) 568-4004
Mailing address: 210 Milwaukee Ave W, Fort Atkinson, WI 53538

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 385-132 (WI)

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Registry record

NPI: 1386984433
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2013
Record last updated: 28 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.