Derek Blum, CSAC

NPI #1194528380 in Monona, Wisconsin

Provider Information

NPI Number: 1194528380
Entity Type: Individual
Name: Derek Blum, CSAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CSAC
Enumeration Date: Mar 31, 2025
Last Updated: Mar 31, 2025

Practice Location

Address: 5900 MONONA DR STE 300
City: Monona
State: Wisconsin
ZIP Code: 53716-3561
Phone: (608) 977-0872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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