Individual provider · Type 1 NPI

Carol Roddy, CSAC

Addiction (Substance Use Disorder) Counselor · Beaver Dam, WI

NPI number 1912450909 Active

Practice location

108 N Lincoln Ave
Beaver Dam, WI 53916-2110

Fax (920) 887-3977

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11055 - 132 (WI)

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

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About NPI 1912450909

Carol Roddy, CSAC's National Provider Identifier is 1912450909, issued on Jul 26, 2016. 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 Jul 26, 2016.