Individual provider · Type 1 NPI
Kacie Michelle Wolfgram, B.S., SAC-IT
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1184093569
Active
Practice location
1610 Miller Park Way
Milwaukee, WI 53214-3604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16379-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1184093569
Kacie Michelle Wolfgram, B.S., SAC-IT's National Provider Identifier is 1184093569, issued on Sep 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 16, 2015.