Individual provider · Type 1 NPI

Kaycie Vickman, SAC-IT

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1992442875 Active

Practice location

2357 W Mason St
Green Bay, WI 54303-4708

Call (920) 337-6740 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19695-130 (WI)

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

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About NPI 1992442875

Kaycie Vickman, SAC-IT's National Provider Identifier is 1992442875, issued on May 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on May 12, 2022.