Individual
MICHAEL LEVANDOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
325 SENTINEL DR, WAUKESHA, WI 53189-7551
(262) 549-9449
Mailing address
W1211 LAKEVIEW LN LOT 23, SULLIVAN, WI 53178-9795
(920) 342-0542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18276-130
WI
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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