Provider Demographics
NPI:1952164220
Name:SCHEWE, VICTORIA SUE (SAC-IT)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:SUE
Last Name:SCHEWE
Suffix:
Gender:F
Credentials:SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1085
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-1085
Mailing Address - Country:US
Mailing Address - Phone:920-435-2093
Mailing Address - Fax:920-435-2580
Practice Address - Street 1:621 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-4001
Practice Address - Country:US
Practice Address - Phone:920-435-2093
Practice Address - Fax:920-435-2580
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20337-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)