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

Geneva Fuller, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235846254

Geneva Fuller, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

1610 Miller Park Way
Milwaukee, WI 53214-3604
Phone: (414) 672-3801
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 19603-130 (WI)

Record details

NPI number1235846254
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorYes
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

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