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

Mr. Jacob P Spangenberg, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043510084

Mr. Jacob P Spangenberg, 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

2979 Allied St Unit C
Green Bay, WI 54304-5567
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 15832-132 (WI)

Record details

NPI number1043510084
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC
Sole proprietorNo
NPI enumeratedOctober 25, 2010
Last updated in NPPESDecember 2, 2014

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