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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16379-130 (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.