SARA NAOMI WALLACE -TOMCZAK SACIT MT IDP-AT NPI 1699928440

NPI Information

NPI: 1699928440
Provider Name: SARA NAOMI WALLACE -TOMCZAK, SACIT, MT, IDP-AT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3136 CRAIG RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 835-9110
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Sara Naomi Wallace -tomczak, SACIT, MT, IDP-AT is an addiction (substance use disorder) counselor in Eau Claire, WI. Sara Naomi Wallace -tomczak, SACIT, MT, IDP-AT NPI is 1699928440. 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:

3136 CRAIG RD
EAU CLAIRE, WI
ZIP 54701-109
Phone: (715) 835-9110
Fax: (715) 830-4098

The enumeration date for this NPI number is 10/24/2008 and was last updated on 10/24/2008.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	14558-130	WISCONSIN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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