Individual provider · Type 1 NPI

Michael Debruin, SAC-IT

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1174293658 Active

Practice location

201 S Glenridge Ct
Appleton, WI 54914-3905

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19245-130 (WI)

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

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About NPI 1174293658

Michael Debruin, SAC-IT's National Provider Identifier is 1174293658, issued on Sep 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Sep 16, 2021.