IndividualActive
Amanda Keagle
NPI 1912707266 · Addiction (Substance Use Disorder) Counselor · Manitowoc, WI
Provider details
- NPI number
- 1912707266
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sole proprietor
- Yes
- License
- 20801 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
926 S 8th St
Manitowoc, WI 54220-4535
Phone: (920) 683-4230
Fax: (920) 683-4908
Approximate (ZIP-level) locationGet directions
Mailing address
926 S 8th St
Manitowoc, WI 54220-4535
Registry dates
- Enumerated
- 2025-03-17
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.