Blake Prochnow

NPI #1164093860 in Prescott, Wisconsin

Provider Information

NPI Number
1164093860
Entity Type
Individual
Name
Blake Prochnow
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 5, 2021
Last Updated
Jul 5, 2021

Practice Location

Address
1380 WALNUT ST
ZIP Code
54021-1010
Phone
(612) 382-3458

Specialties & Taxonomy Codes

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

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