Individual provider · Type 1 NPI

Elaine Jean Doxtator, SAC-IT

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1043700115 Active

Practice location

1701 Dousman St
Green Bay, WI 54303-3211

Fax (920) 496-2027

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18545-130 (WI)

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

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About NPI 1043700115

Elaine Jean Doxtator, SAC-IT's National Provider Identifier is 1043700115, issued on May 15, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on May 15, 2018.