Individual provider · Type 1 NPI
Cortland Sue Watters, BS, SAC-IT
Addiction (Substance Use Disorder) Counselor · Keshana, WI
NPI number
1922722115
Active
Practice location
W3272 Wolf River Dr.
Keshana, WI 54135-9202
Fax (715) 799-3517
Mailing address
PO Box 280
Keshena, WI 54135-0280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1922722115
Cortland Sue Watters, BS, SAC-IT's National Provider Identifier is 1922722115, issued on Sep 30, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Keshana, WI. The record was last updated on Jun 19, 2023.