Individual provider · Type 1 NPI

Kenneth Woodley, SAC-IT

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1215169362 Active

Practice location

6001 W Center St Ste 201
Milwaukee, WI 53210-2154

Fax (414) 449-4850

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15807 (WI)

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

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About NPI 1215169362

Kenneth Woodley, SAC-IT's National Provider Identifier is 1215169362, issued on Aug 21, 2009. 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 Aug 21, 2009.