person
Bradley M Vivoda, CSAC
Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin
NPI 1427760735

Bradley M Vivoda is an Addiction (Substance Use Disorder) Counselor based in Appleton, WI and is specialized in Addiction (Substance Use Disorder). Bradley M Vivoda practices in Appleton, WI and has the professional credentials of CSAC. The NPI Number for Bradley M Vivoda is 1427760735 and holds a License No. 12488-132 (Wisconsin).

The current practice location address for Bradley M Vivoda is 3301 N Ballard Rd, Appleton, WI and can be reached out via phone at 920-733-4443.

Location: 3301 N Ballard Rd, Appleton, WI, 54911-8928
person
Provider Profile Details
NPI Number
1427760735
Provider Name
Bradley M Vivoda
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
3301 N Ballard Rd, Appleton, WI, 54911-8928
Phone Number
920-733-4443
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3301 N Ballard Rd
City
State
Zip
54911-8928
Phone Number
920-733-4443
Fax Number
person
Provider Business Mailing Address Details
Address
3301 N Ballard Rd
City
State
Zip
54911-8928
Phone Number
920-733-4443
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12488-132 (Wisconsin)
Definition
Definition to come...
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