Tiffany Schmit, CSAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Montello, WI

NPI 1003245168 · NPPES record last updated Feb 29, 2016

Key facts

NPI
1003245168
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
15964-132 (WI)
Practice address
480 Underwood Ave
Montello, WI 53949-9248
Phone
(608) 297-3181
Fax
(608) 297-2148
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15964-132WIMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15964-132 WI Yes

Addresses

Primary practice location

480 Underwood Ave
Montello, WI 53949-9248

Mailing address

480 Underwood Ave
Montello, WI 53949-9248
Phone (608) 297-3181

Other providers in Montello, WI

All providers in Montello, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.