Individual provider · Type 1 NPI
Krystalyn Goode, SAC-IT
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1639664923
Active
Practice location
2625 N Weil Street
Milwaukee, WI 53212
Fax (414) 962-2305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18439-130 |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639664923
Krystalyn Goode, SAC-IT's National Provider Identifier is 1639664923, issued on Jun 28, 2018. 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 Jun 28, 2018.