Individual provider · Type 1 NPI

Rick D. Miceli-Wink, CSAC

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

NPI number 1821361833 Active

Practice location

3150 Gershwin Dr
Green Bay, WI 54311-4328

Fax (920) 391-4870

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1266 (WI)
Clinical Social Worker 1041C0700X4880 (WI)

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

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About NPI 1821361833

Rick D. Miceli-Wink, CSAC's National Provider Identifier is 1821361833, issued on Feb 22, 2012. 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 Feb 22, 2012.