Individual provider · Type 1 NPI

Bradley M. Vivoda, CSAC

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1427760735 Active

Practice location

3301 N Ballard Rd
Appleton, WI 54911-8928

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12488-132 (WI)

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

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About NPI 1427760735

Bradley M. Vivoda, CSAC's National Provider Identifier is 1427760735, issued on Dec 19, 2022. 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 Dec 19, 2022.