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

Sandra J. Malone, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265642714

Sandra J. Malone, CSAC is an Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2108 63rd St
Kenosha, WI 53143-4454
Phone: (262) 652-2406
Fax: (262) 652-2408
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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 10893-132 (WI)

Record details

NPI number1265642714
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJune 30, 2008
Mailing address6233 39th Ave, Kenosha, WI 53142-7015

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