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

Kaycie Vickman, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1992442875

Kaycie Vickman, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

2357 W Mason St
Green Bay, WI 54303-4708
Phone: (920) 337-6740
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 19695-130 (WI)

Record details

NPI number1992442875
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

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