Individual provider · Type 1 NPI

Wyatt L. Zaksoek

Addiction (Substance Use Disorder) Counselor · Dixon, IL

NPI number 1538731815 Active

Practice location

325 Illinois Rt 2
Dixon, IL 61021-9118

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1538731815

Wyatt L. Zaksoek's National Provider Identifier is 1538731815, issued on Jul 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dixon, IL. The record was last updated on Jul 15, 2021.