Individual
MISS THERESA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT, CS-IT
Contact information
Practice address
6815 W CAPITOL DR STE 301, MILWAUKEE, WI 53216-2056
(414) 215-8477
(414) 616-9747
Mailing address
6815 W CAPITOL DR STE 301, MILWAUKEE, WI 53216-2056
(414) 215-8477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15010133
WI
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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