Individual
LILLIAN M SARDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ICS, CSAC, LPC
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 671-6606
Mailing address
930 W MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 229-2912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11226-135
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
1965-132
WI
101YM0800X
Mental Health Counselor
Primary
7502-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39362500
—
WI
Enumeration date
04/09/2008
Last updated
03/03/2020
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