Jacqueline Venesia Mcrae, ICS, SAC-IT
NPI #1992290381 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1992290381
- Entity Type
- Individual
- Name
- Jacqueline Venesia Mcrae, ICS, SAC-IT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- ICS, SAC-IT
- Enumeration Date
- Jun 27, 2018
- Last Updated
- Jun 27, 2018
Practice Location
- Address
- 4810 NORTHWESTERN AVE
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-1504
- Phone
- (262) 637-9984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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