Ronaele M Clasen, SAC-IT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gresham, WI
NPI 1497462360 · NPPES record last updated Nov 1, 2022
Key facts
- NPI
- 1497462360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 19736-130 (WI)
- Practice address
- N2150 Kesaehkahtek
Gresham, WI 54128-2150 - Phone
- (715) 799-3835
- Fax
- (715) 799-5056
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- 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 |
|---|---|---|---|
| 19736-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19736-130 | WI | Yes |
Addresses
Primary practice location
N2150 Kesaehkahtek
Gresham, WI 54128-2150
Mailing address
N2150 Kesaehkahtek
Gresham, WI 54128-2150
Phone (715) 799-3835
Other providers in Gresham, WI
- Mary Bernadette Barney
- Natalie Cornelius
- Gresham School District
- Ashley Hebert
- Dominic David Hermann
- Teresa Jean Juga
All providers in Gresham, 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 Nov 1, 2022. 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.