Individual
TAMARA A HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CSAC
Contact information
Practice address
1216 N 13TH ST, MILWAUKEE, WI 53205-2515
(414) 316-2003
Mailing address
1216 N 13TH ST, MILWAUKEE, WI 53205-2515
(414) 316-2003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16038-132
WI
101YM0800X
Mental Health Counselor
Primary
6678-125
WI
Other
Enumeration date
03/28/2012
Last updated
10/19/2017
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