Individual provider · Type 1 NPI

Amanda A. La Bode, SAC-IT

Addiction (Substance Use Disorder) Counselor · West Allis, WI

NPI number 1720996069 Active

Practice location

2814 S 108th St
West Allis, WI 53227-3224

Call (414) 885-3525 Map

Fax (262) 643-4617

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21133-130 (WI)

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

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About NPI 1720996069

Amanda A. La Bode, SAC-IT's National Provider Identifier is 1720996069, issued on Aug 28, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Allis, WI. The record was last updated on Aug 28, 2026.