Individual provider · Type 1 NPI

Christopher Fancher, SAC-IT

Addiction (Substance Use Disorder) Counselor · Racine, WI

NPI number 1750612255 Active

Practice location

6233 Bankers Rd, Suite 10
Racine, WI 53403-9700

Fax (262) 549-6698

Mailing address

2422 N Grandview Blvd
Waukesha, WI 53188-6105

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15900130 (WI)

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

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About NPI 1750612255

Christopher Fancher, SAC-IT's National Provider Identifier is 1750612255, issued on Jan 22, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Jan 22, 2010.