Ronald Alexander, CADC III
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wausau, WI
NPI 1467469742 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467469742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 11119 (WI)
- Practice address
- 1100 Lake View Dr
Wausau, WI 54403-6785 - Phone
- (715) 848-4600
- Fax
- (715) 845-5398
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11119 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11119 | WI | Yes |
Addresses
Primary practice location
1100 Lake View Dr
Wausau, WI 54403-6785
Mailing address
1100 Lake View Dr
Wausau, WI 54403-6785
Phone (715) 848-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39388900 | Medicaid | WI |
Other providers in Wausau, WI
- Zurab Albekioni
- Diane Mary Alber
- Philip Richard Albert
- Charles R. Alden
- Kay Aldrian
- Sydney R Alexander
- Robert John Alexejun
- All Seasons Counseling LLC
- Patrick M Allen
- Allied Health Chiropractic Centers
All providers in Wausau, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.