Individual provider · Type 1 NPI
Jennifer L. Petit, SAC-IT
Addiction (Substance Use Disorder) Counselor · Hayward, WI
NPI number
1790284966
Active
Practice location
10592 Main St.
Hayward, WI 54843-6658
Mailing address
10592 Main Street
Hayward, WI 54843-6658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18086-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1790284966
Jennifer L. Petit, SAC-IT's National Provider Identifier is 1790284966, issued on Feb 2, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hayward, WI. The record was last updated on Sep 5, 2024.