Individual provider · Type 1 NPI
Vanessa Jimenez, SAC-IT
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1093691735
Active
Practice location
210 E Olin Ave
Madison, WI 53713-1434
Fax (608) 807-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20927-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1093691735
Vanessa Jimenez, SAC-IT's National Provider Identifier is 1093691735, issued on Aug 15, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Aug 15, 2025.