IndividualActive
Amanda Rodriguez, CSAC, CSIT
NPI 1629412580 · Addiction (Substance Use Disorder) Counselor · Mount Pleasant, WI
Provider details
- NPI number
- 1629412580
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSAC, CSIT
- Sex
- Female
- Sole proprietor
- No
- License
- 15693-133 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
5735 Durand Ave
Mount Pleasant, WI 53406-5011
Phone: (262) 598-1392
Fax: (262) 598-1395
Approximate (ZIP-level) locationGet directions
Mailing address
5735 Durand Ave
Mount Pleasant, WI 53406-5011
Registry dates
- Enumerated
- 2013-04-23
- Last updated
- 2017-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.