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

Mollea Roseanna Greylord, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407521511

Mollea Roseanna Greylord, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

423 Pine Tree Dr
Fond Du Lac, WI 54935-5474
Phone: (920) 948-9741
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 19365-130 (WI)

Record details

NPI number1407521511
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

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