IndividualActive
Carrie Kubasta, CSAC,SW
NPI 1861711533 · Addiction (Substance Use Disorder) Counselor · Menasha, WI
Provider details
- NPI number
- 1861711533
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSAC,SW
- Sex
- Female
- Sole proprietor
- No
- License
- 15318 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1095 Midway Rd
Menasha, WI 54952-1115
Phone: (920) 720-2300
Fax: (920) 720-3719
Approximate (ZIP-level) locationGet directions
Mailing address
1095 Midway Rd
Menasha, WI 54952-1115
Registry dates
- Enumerated
- 2010-05-20
- Last updated
- 2015-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.