Individual provider · Type 1 NPI

James E. Kilgore, CSAC, ICS

Addiction (Substance Use Disorder) Counselor · Monona, WI

NPI number 1164929253 Active

Practice location

300 Femrite Dr
Monona, WI 53716-3716

Mailing address

5900 Monona Dr Ste 300
Monona, WI 53716-3561

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X11864-134 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1664-132 (WI)

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About NPI 1164929253

James E. Kilgore, CSAC, ICS's National Provider Identifier is 1164929253, issued on Apr 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monona, WI. The record was last updated on Apr 6, 2018.