Individual provider · Type 1 NPI

Sandra M. Vandomelen, SAC-IT

Addiction (Substance Use Disorder) Counselor · Hales Corners, WI

NPI number 1225201817 Active

Practice location

9415 W Forest Home Ave, Suite #1
Hales Corners, WI 53130-1680

Mailing address

4555 W Schroeder Dr, Suite 170
Milwaukee, WI 53223-1475

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15463-130 (WI)

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

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About NPI 1225201817

Sandra M. Vandomelen, SAC-IT's National Provider Identifier is 1225201817, issued on Apr 4, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hales Corners, WI. The record was last updated on Apr 4, 2008.