DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACQUELINE VENESIA MCRAE ICS, SAC-IT

MEDICARE: JACQUELINE VENESIA MCRAE ICS, SAC-IT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor18414-130WI

General Provider Information

NPI Number : 1992290381
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE VENESIA MCRAE ICS, SAC-IT
Provider Business Mailing Address
First Line : 4810 NORTHWESTERN AVE
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53406-1504
Country : US
Telephone Number : 262-637-9984
Fax Number : 262-637-9995
Provider Business Practice Location Address
First Line : 4810 NORTHWESTERN AVE
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53406-1504
Country : US
Telephone Number : 262-637-9984
Fax Number : 262-637-9995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2018
Last Update Date : 06/27/2018

Similar Medicare Providers

1104901222 — SUSAN E MOORE SCHNEIDER MSW, LCSW
Practice Location Address:
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI
53406-1504
Practice Phone: 262-637-9984
Practice Fax: 262-637-9995
1740309699 — MS. SHERYL ANN DEAN LCSW,BSW,CSAC,RCS
Practice Location Address:
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI
53406-1504
Practice Phone: 262-634-9984
Practice Fax: 262-637-9995
1437485984 — MS. KARLA J BIDSTRUP LCSW
Practice Location Address:
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI
53406-1504
Practice Phone: 262-637-9984
Practice Fax:
1326412693 — KARI JANUSHESKE LPC
Practice Location Address:
4810 NORTHWESTERN AVE
MT PLEASANT, WI
53406-1504
Practice Phone: 262-637-9984
Practice Fax:
1760039085 — STACEY L ADAMS
Practice Location Address:
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI
53406-1504
Practice Phone: 262-583-2714
Practice Fax:
1396349114 — LAURA FRAZIER PMHNP-BC
Practice Location Address:
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI
53406-1504
Practice Phone: 262-583-2714
Practice Fax: 262-583-2785

Directions to “ JACQUELINE VENESIA MCRAE ICS, SAC-IT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.