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Tony Gardner, SAC-IT
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1851812879

Tony Gardner is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Tony Gardner practices in Milwaukee, WI and has the professional credentials of SAC-IT. The NPI Number for Tony Gardner is 1851812879 and holds a License No. 18230 (Wisconsin).

The current practice location address for Tony Gardner is 3948 N. 18Th Street, Milwaukee, WI and can be reached out via phone at 414-488-9512.

Location: 3948 N. 18Th Street, Milwaukee, WI, 53206-2430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851812879
Provider Name
Tony Gardner
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
3948 N. 18Th Street, Milwaukee, WI, 53206-2430
Phone Number
414-488-9512
Fax Number
Provider Enumeration Date
06/29/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18230 05 WI
institution
Provider Business Practice Location Address Details
Address
3948 N. 18Th Street
City
Milwaukee
State
Wisconsin
Zip
53206
Phone Number
414-488-9512
Fax Number
person
Provider Business Mailing Address Details
Address
3948 N. 18Th Street
City
Milwaukee
State
Wisconsin
Zip
53206
Phone Number
414-488-9512
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.
18230 (Wisconsin)
Definition
Definition to come...
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