Individual provider · Type 1 NPI

Jillian Lee Palmbach, 17632-130

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1457710204 Active

Practice location

3301 N Ballard Rd, Ste B
Appleton, WI 54911-8928

Call (920) 733-4443 Map

Fax (920) 733-4796

Mailing address

2811 W Glenpark Dr
Appleton, WI 54914-1571

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17632-130 (WI)

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

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About NPI 1457710204

Jillian Lee Palmbach, 17632-130's National Provider Identifier is 1457710204, issued on Feb 22, 2016. 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 Feb 22, 2016.