IndividualActive
Amy Laedtke, SAC-IT
NPI 1700623527 · Addiction (Substance Use Disorder) Counselor · Waukesha, WI
Provider details
- NPI number
- 1700623527
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SAC-IT
- Sex
- Female
- Sole proprietor
- No
- License
- 20478 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
255 W Broadway
Waukesha, WI 53186-4832
Phone: (262) 420-9088
Approximate (ZIP-level) locationGet directions
Mailing address
255 W Broadway
Waukesha, WI 53186-4832
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.