Individual provider · Type 1 NPI

Daniel Mickelson, SAC-IT

Addiction (Substance Use Disorder) Counselor · Janesville, WI

NPI number 1750184669 Active

Practice location

903 Mineral Point Ave
Janesville, WI 53548-2970

Call (608) 756-6564 Map

Mailing address

718 Walker Way
Edgerton, WI 53534-1700

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20656-130 (WI)

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

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About NPI 1750184669

Daniel Mickelson, SAC-IT's National Provider Identifier is 1750184669, issued on Mar 28, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Janesville, WI. The record was last updated on May 6, 2025.