Russell John Denomie

NPI #1063046431 in Ashland, Wisconsin

Provider Information

NPI Number
1063046431
Entity Type
Individual
Name
Russell John Denomie
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Feb 25, 2020
Last Updated
Feb 25, 2020

Practice Location

Address
53585 NOKOMIS RD
ZIP Code
54806-4272
Phone
(715) 682-7133

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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