JAMES KERCKHOVE

ONALASKA, WI
NPI1326400722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17423130)
Enumeration Date2016-03-24
Last Update Date2016-03-24
Business Address
-- JAMES KERCKHOVE
9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650-6739
Phone number: 608-783-0506
Mailing Address
-- JAMES KERCKHOVE
9532 E 16 FRONTAGE RD STE 100
ONALASKA, WI 54650-6739
Phone number:
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