Individual
MS. SANDRA BEKKELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4700
(920) 391-4731
Mailing address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4700
(920) 391-4731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16064-131
WI
Other
Enumeration date
12/22/2015
Last updated
07/09/2021
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