CRAIG ALAN BRUESEWITZ CLINICAL SUBSTANCE
NPI 1902076698
Counselor - Addiction (Substance Use Disorder) in Kewashum, WI

Active since March 10, 2008
1421 FOND DU LAC AVENUE, KEWASHUM, WI 53040(262) 626-4166(262) 626-8431 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Craig Alan Bruesewitz Clinical Substance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG ALAN BRUESEWITZ CLINICAL SUBSTANCE (NPI 1902076698) is an individual addiction (substance use disorder) provider in Kewashum, Wisconsin, licensed in Wisconsin (DHS 75.14 #2598) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1902076698
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCRAIG ALAN BRUESEWITZCredential: CLINICAL SUBSTANCE
Location Address1421 FOND DU LAC AVENUEKewashum, WI 53040
Mailing Address1421 Fond Du Lac AvenueKewashum, WI 53040 · (262) 626-4166 · Fax (262) 626-8431
Fax(262) 626-8431
Sole ProprietorNo
Enumeration DateMarch 10, 2008
Last NPPES UpdateMarch 26, 2014
NPI 1902076698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · DHS 75.14 #2598
Also ListedCounselorTaxonomy 101Y00000X · License 2091132 (WI)
1421 FOND DU LAC AVENUE, Kewashum, WI 53040

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1421 FOND DU LAC AVENUE
KEWASKUM, WI 53040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Bruesewitz's NPI number?

The NPI number for Craig Bruesewitz is 1902076698. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Craig Bruesewitz located?

Craig Bruesewitz practices at 1421 Fond Du Lac Avenue, Kewashum, WI 53040. The listed phone number is (262) 626-4166.

What is Craig Bruesewitz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Craig Bruesewitz was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.