Individual provider · Type 1 NPI

Molly Christofferson, SAC-IT

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

NPI number 1124422068 Active

Practice location

1626 Clarence Ct
West Bend, WI 53095-8533

Call (262) 338-8611 Map

Fax (262) 338-3367

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16866-130 (WI)

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

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About NPI 1124422068

Molly Christofferson, SAC-IT's National Provider Identifier is 1124422068, issued on Oct 21, 2014. 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 Oct 21, 2014.