IndividualActive
Natalie Cornelius, 15990132 CSAC
NPI 1962867085 · Addiction (Substance Use Disorder) Counselor · Gresham, WI
Provider details
- NPI number
- 1962867085
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- 15990132 CSAC
- Sex
- Female
- Sole proprietor
- No
- License
- 15990-132 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602
Phone: (715) 799-3835
Approximate (ZIP-level) locationGet directions
Mailing address
N7988 Huntington Rd
Gresham, WI 54128
Additional practice locations (1)
- 2979 Allied StGreen Bay, WI 54304-5567Phone: (920) 337-6740
Registry dates
- Enumerated
- 2015-12-16
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.