Individual provider · Type 1 NPI

Tara Notzke

Addiction (Substance Use Disorder) Counselor · Menasha, WI

NPI number 1346397122 Active

Practice location

1095 Midway Rd
Menasha, WI 54952-1115

Mailing address

PO Box 8003
Appleton, WI 54912-8003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14008 (WI)

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

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About NPI 1346397122

Tara Notzke's National Provider Identifier is 1346397122, issued on Jan 4, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Menasha, WI. The record was last updated on Jul 8, 2007.