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

Tristan Albert Ertman, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780262840

Tristan Albert Ertman, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Kiel, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

530 State Road 67
Kiel, WI 53042-1650
Phone: (920) 894-1374
Fax: (920) 894-1373
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 19029-130 (WI)

Record details

NPI number1780262840
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorYes
NPI enumeratedMarch 31, 2021
Last updated in NPPESMarch 31, 2021
Certification dateMarch 25, 2021

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