IndividualActive
Amy Johannes, CSAC
NPI 1912917352 · Addiction (Substance Use Disorder) Counselor · Fond Du Lac, WI
Provider details
- NPI number
- 1912917352
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSAC
- Sex
- Female
- Sole proprietor
- No
- License
- 2137 (WI)
Mailing address
1044 S Park Ave
Fond Du Lac, WI 54935-8031
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2023-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.