Individual provider · Type 1 NPI

Trevor Konetzke, SAC-IT

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1013661131 Active

Practice location

201 S Glenridge Ct
Appleton, WI 54914-3905

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19489-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013661131

Trevor Konetzke, SAC-IT's National Provider Identifier is 1013661131, issued on Feb 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Feb 8, 2022.