person
Mollea Roseanna Greylord, SAC-IT
Addiction (Substance Use Disorder) Counselor in Fond Du Lac, Wisconsin
NPI 1407521511

Mollea Roseanna Greylord is an Addiction (Substance Use Disorder) Counselor based in Fond Du Lac, WI and is specialized in Addiction (Substance Use Disorder). Mollea Roseanna Greylord practices in Fond Du Lac, WI and has the professional credentials of SAC-IT. The NPI Number for Mollea Roseanna Greylord is 1407521511 and holds a License No. 19365-130 (Wisconsin).

The current practice location address for Mollea Roseanna Greylord is 423 Pine Tree Dr, Fond Du Lac, WI and can be reached out via phone at 920-948-9741.

Location: 423 Pine Tree Dr, Fond Du Lac, WI, 54935-5474
person
Provider Profile Details
NPI Number
1407521511
Provider Name
Mollea Roseanna Greylord
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
423 Pine Tree Dr, Fond Du Lac, WI, 54935-5474
Phone Number
920-948-9741
Fax Number
Provider Enumeration Date
08/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
423 Pine Tree Dr
City
State
Zip
54935-5474
Phone Number
920-948-9741
Fax Number
person
Provider Business Mailing Address Details
Address
423 Pine Tree Dr
City
State
Zip
54935-5474
Phone Number
920-948-9741
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19365-130 (Wisconsin)
Definition
Definition to come...
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