Individual provider · Type 1 NPI

Isabella Fallos, SAC-IT

Addiction (Substance Use Disorder) Counselor · Lac Du Flambeau, WI

NPI number 1366292070 Active

Practice location

533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-9123

Mailing address

W2981 North Ave
Rib Lake, WI 54470-9704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20481-130 (WI)

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

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About NPI 1366292070

Isabella Fallos, SAC-IT's National Provider Identifier is 1366292070, issued on Mar 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lac Du Flambeau, WI. The record was last updated on Mar 25, 2024.