Individual provider · Type 1 NPI
Ryan Anderson, SAC-IT
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1619796612
Active
Practice location
3113 E Washington Ave
Madison, WI 53704-4330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20619 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1619796612
Ryan Anderson, SAC-IT's National Provider Identifier is 1619796612, issued on Oct 7, 2024. 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 Oct 7, 2024.