Linda Soulad, CSAC, CT-IT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jackson, WI
NPI 1659877843 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1659877843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 17050 (WI)
- Practice address
- W201N16659 Hemlock St Apt 3
Jackson, WI 53037-9437 - Phone
- (920) 858-9848
- NPI assigned
- Apr 5, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17050 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16441 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17050 | WI | Yes |
Addresses
Primary practice location
W201N16659 Hemlock St Apt 3
Jackson, WI 53037-9437
Mailing address
W201N16659 Hemlock St Apt 3
Jackson, WI 53037-9437
Phone (920) 858-9848
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659877843 | Medicaid | WI |
Other providers in Jackson, WI
- Meghan Marie Schmitz
- Barry Schulman
- Mark Seip
- Shannon Skowron
- SNH SE Tenant TRS, Inc
- Laura Jean Steinmetz
- Samuel R Stevens
- Rachel Telschow
- The Lactation Network, LLC
- Jennifer Lynn Thompson
All providers in Jackson, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.