National Provider Identifier
Bethany Marie Shoemaker, SAC-IT
Bethany Marie Shoemaker, SAC-IT is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Madison, WI and a listed phone number of (608) 242-0220.
Source: public NPPES record, last updated April 30, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1508487695
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 30, 2020
- Last Updated
- April 30, 2020
Practice Location
- 5109 World Dairy Dr
- Madison, WI 53718-3807
Phone: (608) 242-0220
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Public sources do not appear to provide enough well-supported professional background for Bethany Shoemaker beyond her Madison, Wisconsin practice context and SAC-IT credential. A fuller profile should be added if an official employer, licensing, education, or faculty source becomes available.
Full Record
- NPI
- 1508487695
- Entity Type
- Individual
- Last Name
- Shoemaker
- First Name
- Bethany
- Middle Name
- Marie
- Credential
- SAC-IT
- Mailing Street Address
- 5109 World Dairy Dr
- Mailing City
- Madison
- Mailing State
- WI
- Mailing ZIP Code
- 53718-3807
- Mailing Country
- US
- Mailing Phone
- (608) 242-0220
- Mailing Fax
- (608) 242-1166
- Practice Street Address
- 5109 World Dairy Dr
- Practice City
- Madison
- Practice State
- WI
- Practice ZIP Code
- 53718-3807
- Practice Country
- US
- Practice Phone
- (608) 242-0220
- Practice Fax
- (608) 242-1166
- Enumeration Date
- April 30, 2020
- Last Updated
- April 30, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 30, 2020
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)