Individual provider · Type 1 NPI

Terri Lee Wallow, SACIT

Addiction (Substance Use Disorder) Counselor · Mount Pleasant, WI

NPI number 1568023943 Active

Practice location

5735 Durand Ave
Mount Pleasant, WI 53406-5011

Fax (262) 598-1395

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 1568023943

Terri Lee Wallow, SACIT's National Provider Identifier is 1568023943, issued on Jun 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Pleasant, WI. The record was last updated on Jun 26, 2019.