Individual provider · Type 1 NPI
Bethany Marie Shoemaker, SAC-IT
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1508487695
Active
Practice location
5109 World Dairy Dr
Madison, WI 53718-3807
Fax (608) 242-1166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 19155-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508487695
Bethany Marie Shoemaker, SAC-IT's National Provider Identifier is 1508487695, issued on Apr 30, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Apr 30, 2020.