MARY NAHWAHQUAW CSAC NPI 1467941161

NPI Information

  • NPI: 1467941161
  • Provider Name: MARY NAHWAHQUAW, CSAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: W3272 WOLF RIVER DR
    KESHENA, WI
    ZIP 54135
  • Phone: (715) 799-3861

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NPI Details

Mary Nahwahquaw, CSAC is an addiction (substance use disorder) counselor in Keshena, WI. Mary Nahwahquaw, CSAC NPI is 1467941161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

W3272 WOLF RIVER DR
KESHENA, WI
ZIP 54135-202
Phone: (715) 799-3861
Fax: (715) 799-3517

The enumeration date for this NPI number is 5/8/2018 and was last updated on 5/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)15255-132WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100084797MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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