Individual provider · Type 1 NPI

Matthew Farmer, SAC-IT

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1902762008 Active

Practice location

255 W Broadway
Waukesha, WI 53186-4832

Fax (262) 458-4102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20978 (WI)

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

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About NPI 1902762008

Matthew Farmer, SAC-IT's National Provider Identifier is 1902762008, issued on Jan 2, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukesha, WI. The record was last updated on Jan 2, 2026.