person
Sandra J. Malone, CSAC
Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin
NPI 1265642714

Sandra J. Malone is an Addiction (Substance Use Disorder) Counselor based in Kenosha, WI and is specialized in Addiction (Substance Use Disorder). Sandra J. Malone practices in Kenosha, WI and has the professional credentials of CSAC. The NPI Number for Sandra J. Malone is 1265642714 and holds a License No. 10893-132 (Wisconsin).

The current practice location address for Sandra J. Malone is 2108 63Rd St, Kenosha, WI and can be reached out via phone at 262-652-2406 and via fax at 262-652-2408.

Location: 2108 63Rd St, Kenosha, WI, 53142-7015
person
Provider Profile Details
NPI Number
1265642714
Provider Name
Sandra J. Malone
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
2108 63Rd St, Kenosha, WI, 53142-7015
Phone Number
262-652-2406
Fax Number
262-652-2408
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39390900 05 WI
institution
Provider Business Practice Location Address Details
Address
2108 63Rd St
City
State
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
262-652-2408
person
Provider Business Mailing Address Details
Address
2108 63Rd St
City
State
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
262-652-2408
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10893-132 (Wisconsin)
Definition
Definition to come...
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