Individual provider · Type 1 NPI
Michelle C. Edwards, SAC-IT
Addiction (Substance Use Disorder) Counselor · Waukesha, WI
NPI number
1689264970
Active
Practice location
2422 N Grandview Blvd
Waukesha, WI 53188-6105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19131-130 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10131-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689264970
Michelle C. Edwards, SAC-IT's National Provider Identifier is 1689264970, issued on Jan 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukesha, WI. The record was last updated on Jan 21, 2021.