Individual provider · Type 1 NPI

Breanne Marie Vanloo, SAC-IT

Addiction (Substance Use Disorder) Counselor · Madison, WI

NPI number 1295234805 Active

Practice location

151 E Badger Rd
Madison, WI 53713-2708

Mailing address

310 W Mackie St
Beaver Dam, WI 53916-1638

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18375-130 (WI)

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

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About NPI 1295234805

Breanne Marie Vanloo, SAC-IT's National Provider Identifier is 1295234805, issued on Feb 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Feb 9, 2018.