Mr. Conner Randy Wild, SAC
Mr. Conner Randy Wild, SAC is an Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.
- Licensed in
- WI
- In the registry since
- 2019
Practice location Address checks out
122 E Olin Ave Ste 275Madison, WI 53713-1475
Phone: (608) 228-0079
Fax: (608) 263-9045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 18164-130 (WI) |
|---|
Record details
| NPI number | 1699311670 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SAC |
| Sole proprietor | No |
| NPI enumerated | November 25, 2019 |
| Last updated in NPPES | November 25, 2019 |
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