Individual
MR. ROGER K ASIJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSINMFT, CSAC
Contact information
Practice address
6040 W LISBON AVE STE 200, MILWAUKEE, WI 53210-2116
(414) 447-9890
(414) 447-9891
Mailing address
4330 S 38TH ST, MILWAUKEE, WI 53221-2005
(414) 447-9890
(414) 447-9891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14969-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43702100
—
WI
Enumeration date
03/05/2007
Last updated
07/09/2007
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