person
Antonio T Boston, SAC-IT
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1720358807

Antonio T Boston is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Antonio T Boston practices in Milwaukee, WI and has the professional credentials of SAC-IT. The NPI Number for Antonio T Boston is 1720358807 and holds a License No. 16231-130 (Wisconsin).

The current practice location address for Antonio T Boston is 2821 N 4Th St Ste 139, Milwaukee, WI and can be reached out via phone at 414-264-4217 and via fax at 414-264-4218.

Location: 2821 N 4Th St Ste 139, Milwaukee, WI, 53212-2362
person
Provider Profile Details
NPI Number
1720358807
Provider Name
Antonio T Boston
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
2821 N 4Th St Ste 139, Milwaukee, WI, 53212-2362
Phone Number
414-264-4217
Fax Number
414-264-4218
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2821 N 4Th St Ste 139
City
State
Zip
53212-2362
Phone Number
414-264-4217
Fax Number
414-264-4218
person
Provider Business Mailing Address Details
Address
2821 N 4Th St Ste 139
City
State
Zip
53212-2362
Phone Number
414-264-4217
Fax Number
414-264-4218
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16231-130 (Wisconsin)
Definition
Definition to come...
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