IndividualActive
Amy Reza
NPI 1194103242 · Addiction (Substance Use Disorder) Counselor · Fond Du Lac, WI
Provider details
- NPI number
- 1194103242
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 16361-132 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 929-2300
Approximate (ZIP-level) locationGet directions
Mailing address
430 E Division St
Fond Du Lac, WI 54935-4560
Registry dates
- Enumerated
- 2015-05-09
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.