Individual provider · Type 1 NPI

Nicole Luchterhand, SAC-IT

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

NPI number 1366069973 Active

Practice location

2357 W Mason St
Green Bay, WI 54303-4708

Fax (920) 337-6741

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19175-130 (WI)

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

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About NPI 1366069973

Nicole Luchterhand, SAC-IT's National Provider Identifier is 1366069973, issued on Jun 30, 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 Jun 30, 2020.