Individual provider · Type 1 NPI
Holly Greene, SAC IT
Addiction (Substance Use Disorder) Counselor · Beaver Dam, WI
NPI number
1861924540
Active
Practice location
111 Warren St, Suite #2
Beaver Dam, WI 53916-3084
Mailing address
W207N17003 Parkview Ct
Jackson, WI 53037-9459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18008-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861924540
Holly Greene, SAC IT's National Provider Identifier is 1861924540, issued on Mar 31, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaver Dam, WI. The record was last updated on Mar 31, 2017.