CHRISTOPHER FANCHER

RACINE, WI
NPI1750612255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15900130)
Enumeration Date2010-01-22
Last Update Date2010-01-22
Business Address
-- CHRISTOPHER FANCHER SAC-IT
6233 BANKERS RD SUITE 10
RACINE, WI 53403-9700
Phone number: 262-549-6600
Mailing Address
-- CHRISTOPHER FANCHER SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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