Individual provider · Type 1 NPI

Kelly J. Jodar, CSAC

Addiction (Substance Use Disorder) Counselor · Sheboygan, WI

NPI number 1114225216 Active

Practice location

2842 S Business Dr
Sheboygan, WI 53081-6518

Call (262) 549-6600 Map

Fax (262) 549-6698

Mailing address

2422 N Grandview Blvd
Waukesha, WI 53188-6105

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15433132 (WI)

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

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About NPI 1114225216

Kelly J. Jodar, CSAC's National Provider Identifier is 1114225216, issued on Mar 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sheboygan, WI. The record was last updated on Mar 14, 2011.