Individual provider · Type 1 NPI

Anna Grace Holly, SAC-IT

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1619260874 Active

Practice location

600 W Virginia St, Suite 203
Milwaukee, WI 53204-1500

Mailing address

827 N 17th St, Apt. 304
Milwaukee, WI 53233-3302

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16045-130 (WI)

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

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About NPI 1619260874

Anna Grace Holly, SAC-IT's National Provider Identifier is 1619260874, issued on May 20, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 29, 2011.