person
Elaine Jean Doxtator, SAC-IT
Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin
NPI 1043700115

Elaine Jean Doxtator is an Addiction (Substance Use Disorder) Counselor based in Green Bay, WI and is specialized in Addiction (Substance Use Disorder). Elaine Jean Doxtator practices in Green Bay, WI and has the professional credentials of SAC-IT. The NPI Number for Elaine Jean Doxtator is 1043700115 and holds a License No. 18545-130 (Wisconsin).

The current practice location address for Elaine Jean Doxtator is 1701 Dousman St, Green Bay, WI and can be reached out via phone at 920-593-5630 and via fax at 920-496-2027.

Location: 1701 Dousman St, Green Bay, WI, 54303-3211
person
Provider Profile Details
NPI Number
1043700115
Provider Name
Elaine Jean Doxtator
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
1701 Dousman St, Green Bay, WI, 54303-3211
Phone Number
920-593-5630
Fax Number
920-496-2027
Provider Enumeration Date
05/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1701 Dousman St
City
State
Zip
54303-3211
Phone Number
920-593-5630
Fax Number
920-496-2027
person
Provider Business Mailing Address Details
Address
1701 Dousman St
City
State
Zip
54303-3211
Phone Number
920-593-5630
Fax Number
920-496-2027
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18545-130 (Wisconsin)
Definition
Definition to come...
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