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Shereese Clark, SAC-IT
Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin
NPI 1194026013

Shereese Clark is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Shereese Clark practices in Waukesha, WI and has the professional credentials of SAC-IT. The NPI Number for Shereese Clark is 1194026013 and holds a License No. 16003-130 (Wisconsin).

The current practice location address for Shereese Clark is 2422 N Grandview Blvd, Waukesha, WI and can be reached out via phone at 262-549-6600 and via fax at 262-549-6600.

Location: 2422 N Grandview Blvd, Waukesha, WI, 53214-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194026013
Provider Name
Shereese Clark
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
2422 N Grandview Blvd, Waukesha, WI, 53214-3604
Phone Number
262-549-6600
Fax Number
262-549-6600
Provider Enumeration Date
11/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2422 N Grandview Blvd
City
Waukesha
State
Wisconsin
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6600
person
Provider Business Mailing Address Details
Address
2422 N Grandview Blvd
City
Waukesha
State
Wisconsin
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6600
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16003-130 (Wisconsin)
Definition
Definition to come...
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