Search › Wisconsin › Addiction (Substance Use Disorder) Counselor
Samuel Kirby, SAC
NPI 1972855914 · on the registry since 2012
Practice
- Address
- 3113 E Washington Ave
Madison, WI 53704 - Phone
- (608) 242-0220
- Fax
- (608) 242-1166
- Organisation at this address
- Madison Health Services
Psychological Addiction Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 66
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin