Individual provider · Type 1 NPI

James Fredrick, SAC-IT

Addiction (Substance Use Disorder) Counselor · West Bend, WI

NPI number 1487829446 Active

Practice location

1626 Clarence Ct
West Bend, WI 53095-8533

Call (262) 338-8611 Map

Fax (262) 338-3367

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15489-130 (WI)

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

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About NPI 1487829446

James Fredrick, SAC-IT's National Provider Identifier is 1487829446, issued on Apr 29, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Bend, WI. The record was last updated on Apr 29, 2008.