Individual
FAITHE C KAZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3719
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2370
(920) 720-3806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15630
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15899
WI
Other
Enumeration date
08/16/2010
Last updated
02/16/2022
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