Individual
MS. ALEXIS MARIE HASSAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, SAC-IT
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
Mailing address
3240 MARKET LN APT 4021, KENOSHA, WI 53144-3477
(262) 287-3757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
20771130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20771130
WI
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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