Individual provider · Type 1 NPI
James Edward Subrod, SAC
Addiction (Substance Use Disorder) Counselor · Burlington, WI
NPI number
1811269004
Active
Practice location
201 N Pine St
Burlington, WI 53105-1935
Mailing address
319 W State St
Burlington, WI 53105-1811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11645-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1811269004
James Edward Subrod, SAC's National Provider Identifier is 1811269004, issued on Feb 2, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burlington, WI. The record was last updated on Feb 2, 2012.