Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley M Vivoda, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427760735

Bradley M Vivoda, CSAC is an Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

3301 N Ballard Rd
Appleton, WI 54911-8928
Phone: (920) 733-4443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12488-132 (WI)

Record details

NPI number1427760735
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

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