Jamie Theisen, SAC-IT

NPI #1154994382 in Green Bay, Wisconsin

Provider Information

NPI Number
1154994382
Entity Type
Individual
Name
Jamie Theisen, SAC-IT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SAC-IT
Enumeration Date
Jul 24, 2021
Last Updated
Jul 24, 2021

Practice Location

Address
2357 W MASON ST
ZIP Code
54303-4708
Phone
(920) 337-6740

Specialties & Taxonomy Codes

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

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