Elaine Jean Doxtator, SAC-IT

NPI #1043700115 in Green Bay, Wisconsin

Provider Information

NPI Number
1043700115
Entity Type
Individual
Name
Elaine Jean Doxtator, SAC-IT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SAC-IT
Enumeration Date
May 15, 2018
Last Updated
May 15, 2018

Practice Location

Address
1701 DOUSMAN ST
ZIP Code
54303-3211
Phone
(920) 593-5630

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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