Individual provider · Type 1 NPI

Amelia Kristine Gough, SAC-IT

Addiction (Substance Use Disorder) Counselor · Wausau, WI

NPI number 1942077086 Active

Practice location

210 Washington St
Wausau, WI 54403-5543

Call (715) 845-3637 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20449-130 (WI)

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

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About NPI 1942077086

Amelia Kristine Gough, SAC-IT's National Provider Identifier is 1942077086, issued on Dec 8, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wausau, WI. The record was last updated on Dec 8, 2023.