Individual provider · Type 1 NPI

Mackenzie L. Bushland, CSAC

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1417836446 Active

Practice location

320 S Walnut St
Appleton, WI 54911-5918

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17241 (WI)

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

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About NPI 1417836446

Mackenzie L. Bushland, CSAC's National Provider Identifier is 1417836446, issued on Sep 2, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Sep 2, 2025.