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

Mary Miceli-Wink, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205167426

Mary Miceli-Wink, CSAC is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010

Practice location Address checks out

3150 Gershwin Dr
Green Bay, WI 54311-5859
Phone: (920) 391-6940
Fax: (920) 391-4870
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 1198 (WI)

Record details

NPI number1205167426
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC
Sole proprietorNo
NPI enumeratedJanuary 28, 2010
Last updated in NPPESJanuary 28, 2010

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