Individual provider · Type 1 NPI

Amy Reza

Addiction (Substance Use Disorder) Counselor · Fond Du Lac, WI

NPI number 1194103242 Active

Practice location

430 E Division St
Fond Du Lac, WI 54935-4560

Call (920) 929-2300 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16361-132 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X17238 (WI)

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

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About NPI 1194103242

Amy Reza's National Provider Identifier is 1194103242, issued on May 9, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 12, 2022.