Individual provider · Type 1 NPI

Ashley B. Witlacil, SAC

Addiction (Substance Use Disorder) Counselor · Menasha, WI

NPI number 1821368754 Active

Practice location

1095 Midway Rd
Menasha, WI 54952-1115

Call (920) 720-2300 Map

Fax (920) 720-3719

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15855 (WI)
Professional Counselor 101YP2500X5755 (WI)

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

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About NPI 1821368754

Ashley B. Witlacil, SAC's National Provider Identifier is 1821368754, issued on Jan 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Menasha, WI. The record was last updated on Nov 9, 2015.