person
Charles Lamont Linyard III, SAC-IT
Addiction (Substance Use Disorder) Counselor in West Allis, Wisconsin
NPI 1528734357

Charles Lamont Linyard III is an Addiction (Substance Use Disorder) Counselor based in West Allis, WI and is specialized in Addiction (Substance Use Disorder). Charles Lamont Linyard III practices in West Allis, WI and has the professional credentials of SAC-IT. The NPI Number for Charles Lamont Linyard III is 1528734357 and holds a License No. 18744-130 (Wisconsin).

The current practice location address for Charles Lamont Linyard III is 2814 S 108Th St, West Allis, WI and can be reached out via phone at 414-885-3525 and via fax at 262-643-4617.

Location: 2814 S 108Th St, West Allis, WI, 53227-3224
person
Provider Profile Details
NPI Number
1528734357
Provider Name
Charles Lamont Linyard III
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
2814 S 108Th St, West Allis, WI, 53227-3224
Phone Number
414-885-3525
Fax Number
262-643-4617
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2814 S 108Th St
City
State
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
262-643-4617
person
Provider Business Mailing Address Details
Address
2814 S 108Th St
City
State
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
262-643-4617
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18744-130 (Wisconsin)
Definition
Definition to come...
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