Individual provider · Type 1 NPI
Holley Dornfeld, SAC-IT
Addiction (Substance Use Disorder) Counselor · Green Lake, WI
NPI number
1669072872
Active
Practice location
571 County Road A
Green Lake, WI 54941-8630
Fax (920) 294-4139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 19295-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Green Lake
About NPI 1669072872
Holley Dornfeld, SAC-IT's National Provider Identifier is 1669072872, issued on Oct 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Lake, WI. The record was last updated on Oct 27, 2020.