Individual provider · Type 1 NPI

Geneva Fuller, SAC-IT

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1235846254 Active

Practice location

1610 Miller Park Way
Milwaukee, WI 53214-3604

Call (414) 672-3801 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19603-130 (WI)

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

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About NPI 1235846254

Geneva Fuller, SAC-IT's National Provider Identifier is 1235846254, issued on Oct 31, 2022. 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 Oct 31, 2022.