Individual provider · Type 1 NPI

Amber Mall, SAC-IT

Addiction (Substance Use Disorder) Counselor · Madison, WI

NPI number 1770012254 Active

Practice location

151 E Badger Rd
Madison, WI 53713-2708

Mailing address

212 14th Ave
New Glarus, WI 53574-9703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1770012254

Amber Mall, SAC-IT's National Provider Identifier is 1770012254, issued on Jun 8, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Jun 8, 2017.