Individual
MS. CRYSTAL MARIE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1610 MILLER PARK WAY, MILWAUKEE, WI 53214-3604
(414) 672-3801
Mailing address
4020 S 65TH ST APT 15, GREENFIELD, WI 53220-2539
(414) 587-6183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16394-132
WY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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