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

Kenneth Middlebrooks, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518780758

Kenneth Middlebrooks, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

2422 N Grandview Blvd
Waukesha, WI 53188-6105
Phone: (262) 549-6600
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 20353-130 (WI)

Record details

NPI number1518780758
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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