Carlee Zander, SAC-IT
Counselor, Addiction (Substance Use Disorder) in Green Bay, WI. Individual provider (NPI-1).
NPI number1669239646
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1669239646
- Entity type
- Individual (NPI-1)
- Name
- Carlee Zander
- Credential
- SAC-IT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2024
- Certification date
- Mar 5, 2024
- Last updated
- Mar 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 20491 | WI | Yes |
Practice location
2357 W Mason StGreen Bay, WI 54303-4708
Phone 920-337-6740
Mailing address
2357 W Mason StGreen Bay, WI 54303-4708
Phone 920-337-6740
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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