Individual provider · Type 1 NPI

Mary Jo Seidl, CSAC

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1750696100 Active

Practice location

1701 Dousman St
Green Bay, WI 54303-3211

Mailing address

1185 Division St
Green Bay, WI 54303-3050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11211-132 (WI)

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

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About NPI 1750696100

Mary Jo Seidl, CSAC's National Provider Identifier is 1750696100, issued on Aug 10, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on Aug 10, 2010.