person
Mr. Elisha A Barren SR., SAC-IT
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1366998403

Elisha A Barren SR. is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Elisha A Barren SR. practices in Milwaukee, WI and has the professional credentials of SAC-IT. The NPI Number for Elisha A Barren SR. is 1366998403 and holds a License No. 16713-130 (Wisconsin).

The current practice location address for Elisha A Barren SR. is 2555 N Mlk Dr, Milwaukee, WI and can be reached out via phone at 414-372-8080 and via fax at 414-267-8570.

Location: 2555 N Mlk Dr, Milwaukee, WI, 53208-4331
person
Provider Profile Details
NPI Number
1366998403
Provider Name
Elisha A Barren SR.
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
2555 N Mlk Dr, Milwaukee, WI, 53208-4331
Phone Number
414-372-8080
Fax Number
414-267-8570
Provider Enumeration Date
08/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366998403 05 WI
institution
Provider Business Practice Location Address Details
Address
2555 N Mlk Dr
City
State
Zip
53212-2709
Phone Number
414-372-8080
Fax Number
414-267-8570
person
Provider Business Mailing Address Details
Address
2555 N Mlk Dr
City
State
Zip
53212-2709
Phone Number
414-372-8080
Fax Number
414-267-8570
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16713-130 (Wisconsin)
Definition
Definition to come...
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