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

Courtney Balthazor, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053037333

Courtney Balthazor, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Manitowoc, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

3 Riverview Dr
Manitowoc, WI 54220-3767
Phone: (920) 663-1035
Fax: (920) 215-4918
Show map & directions

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

Additional practice locations (1)

  • 3733 Dewey St, Manitowoc, WI 54220-5844 — (920) 663-1035

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20064130 (WI)

Record details

NPI number1053037333
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

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