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Empress Andrea Gray
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1235546110

Empress Andrea Gray is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Empress Andrea Gray practices in Milwaukee, WI. The NPI Number for Empress Andrea Gray is 1235546110 and holds a License No. 17180-130 (Wisconsin).

The current practice location address for Empress Andrea Gray is 2048 N 34Th St, Milwaukee, WI and can be reached out via phone at 414-400-1526.

Location: 2048 N 34Th St, Milwaukee, WI, 53208-1967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235546110
Provider Name
Empress Andrea Gray
Credential
Provider Entity Type
Individual
Gender
Female
Address
2048 N 34Th St, Milwaukee, WI, 53208-1967
Phone Number
414-400-1526
Fax Number
Provider Enumeration Date
07/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2048 N 34Th St
City
Milwaukee
State
Wisconsin
Zip
53208-1967
Phone Number
414-400-1526
Fax Number
person
Provider Business Mailing Address Details
Address
2048 N 34Th St
City
Milwaukee
State
Wisconsin
Zip
53208-1967
Phone Number
414-400-1526
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
17180-130 (Wisconsin)
Definition
Definition to come...
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