Individual provider · Type 1 NPI
Andrwew John Collura, SAC-IT
Addiction (Substance Use Disorder) Counselor · Hales Corners, WI
NPI number
1578839478
Active
Practice location
9415 W Forest Home Ave Ste 108
Hales Corners, WI 53130-1680
Fax (414) 427-4889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16128-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1578839478
Andrwew John Collura, SAC-IT's National Provider Identifier is 1578839478, issued on Mar 26, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hales Corners, WI. The record was last updated on Mar 26, 2012.