person
Lois Bohannon, SAC-IT
Addiction (Substance Use Disorder) Counselor in West Milwaukee, Wisconsin
NPI 1063993723

Lois Bohannon is an Addiction (Substance Use Disorder) Counselor based in West Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Lois Bohannon practices in West Milwaukee, WI and has the professional credentials of SAC-IT. The NPI Number for Lois Bohannon is 1063993723 and holds a License No. 17211130 (Wisconsin).

The current practice location address for Lois Bohannon is 1610 Miller Park Way, West Milwaukee, WI and can be reached out via phone at 414-672-3801.

Location: 1610 Miller Park Way, West Milwaukee, WI, 53214-3604
person
Provider Profile Details
NPI Number
1063993723
Provider Name
Lois Bohannon
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
1610 Miller Park Way, West Milwaukee, WI, 53214-3604
Phone Number
414-672-3801
Fax Number
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1610 Miller Park Way
City
State
Zip
53214-3604
Phone Number
414-672-3801
Fax Number
person
Provider Business Mailing Address Details
Address
1610 Miller Park Way
City
State
Zip
53214-3604
Phone Number
414-672-3801
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17211130 (Wisconsin)
Definition
Definition to come...
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