Individual provider · Type 1 NPI

Samuel H. Kirby, SAC

Addiction (Substance Use Disorder) Counselor · Madison, WI

NPI number 1972855914 Active

Practice location

3113 E Washington Ave
Madison, WI 53704-4330

Fax (608) 242-1166

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15769-131 (WI)

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

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About NPI 1972855914

Samuel H. Kirby, SAC's National Provider Identifier is 1972855914, issued on Oct 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Oct 15, 2012.