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Organization
EW COUNSELING, INC.
Active
Organization
EW COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN G. WARREN CSAC, ICS (DIRECTOR)
(262) 412-0670
Entity
Organization
Contact information
Practice address
5407 8TH AVE, KENOSHA, WI 53140-3715
(262) 412-0670
Mailing address
5407 8TH AVE, KENOSHA, WI 53140-3715
(262) 412-0670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11581-134
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2106-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083813224
GROUP
WI
01
—
1609076322
INDIVIDUAL
WI
Enumeration date
03/18/2009
Last updated
03/18/2009
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