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

Mr. James Fredrick, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487829446

Mr. James Fredrick, SAC-IT is an Addiction (Substance Use Disorder) Counselor in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008

Practice location Address checks out

1626 Clarence Ct
West Bend, WI 53095-8533
Phone: (262) 338-8611
Fax: (262) 338-3367
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 15489-130 (WI)

Record details

NPI number1487829446
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedApril 29, 2008
Last updated in NPPESApril 29, 2008

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