Individual provider · Type 1 NPI

Thomas Richard Yedica, SAC-IT

Counselor · Sheboygan, WI

NPI number 1922978360 Active

Practice location

505 Park Ave
Sheboygan, WI 53081-2871

Call (920) 803-8039 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X20848-130 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1922978360

Thomas Richard Yedica, SAC-IT's National Provider Identifier is 1922978360, issued on Nov 10, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sheboygan, WI. The record was last updated on Nov 10, 2025.