Individual provider · Type 1 NPI

Amanda Keagle

Addiction (Substance Use Disorder) Counselor · Manitowoc, WI

NPI number 1912707266 Active

Practice location

926 S 8th St
Manitowoc, WI 54220-4535

Call (920) 683-4230 Map

Fax (920) 683-4908

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20801 (WI)

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

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About NPI 1912707266

Amanda Keagle's National Provider Identifier is 1912707266, issued on Mar 17, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manitowoc, WI. The record was last updated on Mar 17, 2025.