Individual provider · Type 1 NPI
Amy S. Johannes, CSAC
Addiction (Substance Use Disorder) Counselor · Fond Du Lac, WI
NPI number
1912917352
Active
Practice location
1044 S Park Ave
Fond Du Lac, WI 54935-8031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 2137 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 38635 (IL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 162616 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4127 (VA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2137 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912917352
Amy S. Johannes, CSAC's National Provider Identifier is 1912917352, issued on Aug 8, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 28, 2023.