Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY JAMES MODER, SAC-IT
ActiveTIMOTHY JAMES MODER, SAC-IT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SUPERIOR, Wisconsin. NPI 1437332319 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SUPERIOR, WI
Registration Details
- NPI Number
- 1437332319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2007 (18.486217159326 yrs)
- Last Updated
- Dec 13, 2007
- License
-
14242-130 (WI)
Practice Information
- Address
-
1507 TOWER AVE# 307SUPERIOR, WI, 548802532Browse WI providers · Browse ZIP 54880
- Phone
- 7153929300
- Fax
- 7153928041
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| JOSEPH WALTER KNOTTS | SACIT | 1457576779 |
| MISS ALISHA MARIE BLISS | CSAC, LADC | 1386970630 |
| GINA LEE ADAMSKI | LADC, CSAC | 1770837882 |
| DEBRA RYBOS | CSAC | 1346636115 |
| BARBARA TITUS | LADC CSAC | 1578090049 |
| DR. MICHELE DENISE PERRON | PHD | 1518580182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.