IndividualActive
Becky Fawley, SAC
NPI 1407284169 · Addiction (Substance Use Disorder) Counselor · Menasha, WI
Provider details
- NPI number
- 1407284169
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SAC
- Sex
- Female
- Sole proprietor
- No
- License
- 16466 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1095 Midway Rd
Menasha, WI 54952-1115
Phone: (920) 720-3700
Fax: (920) 720-3806
Approximate (ZIP-level) locationGet directions
Mailing address
1095 Midway Rd
Menasha, WI 54952-1115
Registry dates
- Enumerated
- 2013-10-16
- Last updated
- 2021-07-28
- Certified
- 2021-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.