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

Kaylee M Stodola, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568140549

Kaylee M Stodola, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

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 20324-130 (WI)

Record details

NPI number1568140549
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

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