Individual
ROSA TATIANA GARCIA HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW., SAC-IT
Contact information
Practice address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 643-8530
Mailing address
10920 W LINCOLN AVE STE D, MILWAUKEE, WI 53227-1130
(262) 957-4523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19817-130
WI
1041C0700X
Clinical Social Worker
134960-121
WI
Other
Enumeration date
07/05/2023
Last updated
04/22/2026
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