Individual provider · Type 1 NPI

Jennifer Ryan, SAC-IT

Addiction (Substance Use Disorder) Counselor · West Bend, WI

NPI number 1023409794 Active

Practice location

1626 Clarence Ct
West Bend, WI 53095-8533

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17344-130 (WI)

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

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About NPI 1023409794

Jennifer Ryan, SAC-IT's National Provider Identifier is 1023409794, issued on Feb 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Bend, WI. The record was last updated on Feb 16, 2015.