Sandra M Vandomelen, SAC-IT

NPI #1225201817 in Hales Corners, Wisconsin

Provider Information

NPI Number
1225201817
Entity Type
Individual
Name
Sandra M Vandomelen, SAC-IT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SAC-IT
Enumeration Date
Apr 4, 2008
Last Updated
Apr 4, 2008

Practice Location

Address
9415 W FOREST HOME AVE
Address 2
SUITE #1
ZIP Code
53130-1680
Phone
(414) 427-4884

Specialties & Taxonomy Codes

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

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