Individual
PENELOPE SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 UNIVERSITY AVE STE 100, MADISON, WI 53705-5400
(608) 233-2100
Mailing address
5005 UNIVERSITY AVE STE 100, MADISON, WI 53705-5400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18156 - 130
WI
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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