Individual provider · Type 1 NPI

Mark Weitkum, SAC-IT

Addiction (Substance Use Disorder) Counselor · Elkhorn, WI

NPI number 1063647147 Active

Practice location

797 E Geneva St
Elkhorn, WI 53121-2303

Fax (262) 723-1556

Mailing address

285 N Janacek Rd
Brookfield, WI 53045-6102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13705-130 (WI)

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

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About NPI 1063647147

Mark Weitkum, SAC-IT's National Provider Identifier is 1063647147, issued on May 19, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elkhorn, WI. The record was last updated on May 19, 2009.