MR. James Edward Subrod, SAC

NPI #1811269004 in Burlington, Wisconsin

Provider Information

NPI Number: 1811269004
Entity Type: Individual
Name: MR. James Edward Subrod, SAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: SAC
Enumeration Date: Feb 2, 2012
Last Updated: Feb 2, 2012

Practice Location

Address: 201 N PINE ST
City: Burlington
State: Wisconsin
ZIP Code: 53105-1935
Phone: (262) 767-0441

Specialties & Taxonomy Codes

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

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