Individual
CARRIE NITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
571 COUNTY ROAD A, GREEN LAKE, WI 54941-8630
(920) 229-3338
Mailing address
N8794 TOWNLINE RD, VAN DYNE, WI 54979-9736
(920) 979-8104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18377-130
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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