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

Trevor Konetzke, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013661131

Trevor Konetzke, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

201 S Glenridge Ct
Appleton, WI 54914-3905
Phone: (920) 731-3981
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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 19489-130 (WI)

Record details

NPI number1013661131
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedFebruary 8, 2022
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022
Mailing address201 S Glenridge Ct, Appleton, WI 54914-3905

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