Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. VERNON WAYNE FORMAN, CERTIFICATIONS
Active Sole ProprietorMR. VERNON WAYNE FORMAN, CERTIFICATIONS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1952403966 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PORT WASHINGTON, WI
Registration Details
- NPI Number
- 1952403966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.7677126466 yrs)
- Last Updated
- Mar 8, 2026
- License
-
1701 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
722 S SPRING STPORT WASHINGTON, WI, 530742334Browse WI providers · Browse ZIP 53074
- Phone
- 2624830048
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PORT WASHINGTON, WI
| Name | Credential | NPI |
|---|---|---|
| GLENN ZIPPERER | LCSW CADC III | 1548251655 |
| DAWN M ZAK | MS, LPC, CSAC | 1356332464 |
| BARBARA ARCURI | CADC III | 1265423370 |
| LYNETTE BAUER | CADC III | 1528059631 |
| VICKIE FINCH | — | 1770955130 |
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.