IndividualActive
Amelia Gough, SAC-IT
NPI 1942077086 · Addiction (Substance Use Disorder) Counselor · Wausau, WI
Provider details
- NPI number
- 1942077086
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SAC-IT
- Sex
- Female
- Sole proprietor
- No
- License
- 20449-130 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
210 Washington St
Wausau, WI 54403-5543
Phone: (715) 845-3637
Approximate (ZIP-level) locationGet directions
Mailing address
210 Washington St
Wausau, WI 54403-5543
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.