Individual provider · Type 1 NPI

Jaden Hendzel, SAC-IT

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

NPI number 1285274688 Active

Practice location

2357 W Mason St
Green Bay, WI 54303-4708

Call (920) 337-6740 Map

Fax (920) 337-6741

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19073-130 (WI)

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

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About NPI 1285274688

Jaden Hendzel, SAC-IT's National Provider Identifier is 1285274688, issued on Jan 14, 2020. 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 Jan 14, 2020.