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

Holley Dornfeld, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669072872

Holley Dornfeld, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Green Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020

Practice location Address checks out

571 County Road A
Green Lake, WI 54941-8630
Phone: (920) 294-4070
Fax: (920) 294-4139
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 19295-130 (WI)

Record details

NPI number1669072872
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 26, 2020

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