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Organization
PARADIGM ENRICHMENT SERVICES, INC
Active
Organization
PARADIGM ENRICHMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK GEORGE JACKSON II (EXECUTIVE DIRECTOR)
(414) 393-0295
Entity
Organization
Contact information
Practice address
4222 W CAPITOL DR, MILWAUKEE, WI 53216-2500
(414) 393-0295
(414) 393-1155
Mailing address
6110 W CAPITOL DR, MILWAUKEE, WI 53216-2120
(414) 393-0295
(414) 393-1155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2990
WI
Other
Enumeration date
07/09/2013
Last updated
01/09/2020
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