Individual
MR. JULIUS D COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC, ICS
Contact information
Practice address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(414) 488-9512
(414) 810-0587
Mailing address
4634 N 68TH ST, MILWAUKEE, WI 53218-4824
(414) 861-3078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1379
WI
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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