TREVOR KONETZKE

APPLETON, WI
NPI1013661131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19489-130)
Enumeration Date2022-02-08
Last Update Date2022-02-08
Business Address
TREVOR KONETZKE SAC-IT
201 S GLENRIDGE CT
APPLETON, WI 54914-3905
Phone number: 920-731-3981
Mailing Address
TREVOR KONETZKE SAC-IT
201 S GLENRIDGE CT
APPLETON, WI 54914-3905
Phone number:
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