Individual
MR. KEHNIDE MUATA LUMUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAS
Contact information
Practice address
3020 W VLIET ST, MILWAUKEE, WI 53208-2461
(414) 312-8910
(414) 455-3292
Mailing address
3020 W VLIET ST, MILWAUKEE, WI 53208-2461
(414) 312-8910
(414) 455-3292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15253-132
WI
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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