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

Miss. Carrie Dominiczak, SACIT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871075630

Miss. Carrie Dominiczak, SACIT is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018

Practice location Address checks out

2357 W Mason St
Green Bay, WI 54303-4708
Phone: (920) 337-6740
Fax: (920) 337-6741
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 18489-130 (WI)

Record details

NPI number1871075630
Entity typeIndividual (Type 1)
GenderFemale
Credentials SACIT
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESAugust 29, 2018

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