Individual provider · Type 1 NPI

Matthew Maloney, SAC IT

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1225852973 Active

Practice location

3150 Gershwin Dr
Green Bay, WI 54311-4328

Fax (920) 391-4731

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19746 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17307 (WI)

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

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About NPI 1225852973

Matthew Maloney, SAC IT's National Provider Identifier is 1225852973, issued on Nov 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on Jul 13, 2026.