Kelly J Jodar, CSAC - Counselor in Sheboygan, WI

Kelly J Jodar, CSAC is a Counselor - Addiction (substance Use Disorder) based in Sheboygan, Wisconsin. Kelly J Jodar is licensed to practice in Wisconsin (license number 15433132) and her current practice location is 2842 S Business Dr, Sheboygan, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 549-6600.

NPI number for Kelly J Jodar is 1114225216 and her current mailing address is 2422 N Grandview Blvd, Waukesha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114225216.

Contact Information

Kelly J Jodar, CSAC
2842 S Business Dr,
Sheboygan, WI 53081-6518
(262) 549-6600
(262) 549-6698

Healthcare Provider's Profile

Full NameKelly J Jodar
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2842 S Business Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114225216
  • Provider Enumeration Date: 03/14/2011
  • Last Update Date: 03/14/2011

Medical Identifiers

Medical identifiers for Kelly J Jodar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114225216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 15433132 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly J Jodar is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly J Jodar, CSAC
2422 N Grandview Blvd,
Waukesha, WI 53188-6105

Ph: (262) 549-6600
Kelly J Jodar, CSAC
2842 S Business Dr,
Sheboygan, WI 53081-6518

Ph: (262) 549-6600

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› Verified 7 days ago


Counselor in Sheboygan, WI

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Practice Location: 615 South 8th St, Ste G-20, Sheboygan, WI 53081
Phone: 920-457-8866    Fax: 920-457-8867

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