Individual provider · Type 1 NPI

Jenna L. Walstead, SAC-IT

Addiction (Substance Use Disorder) Counselor · Madison, WI

NPI number 1336818616 Active

Practice location

2914 Industrial Dr
Madison, WI 53713-4047

Call (608) 223-3311 Map

Mailing address

314 N Pleasant St
Cambridge, WI 53523-9404

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19298-130 (WV)

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

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About NPI 1336818616

Jenna L. Walstead, SAC-IT's National Provider Identifier is 1336818616, issued on Sep 9, 2021. 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 Sep 9, 2021.