Individual
MR. JAMES LOUIS HARRISON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CSAC, LPC, NCGC-
Contact information
Practice address
15350 W NATIONAL AVE STE 108, NEW BERLIN, WI 53151-5158
(262) 249-6565
(262) 910-5477
Mailing address
10012 WEST CAPITOL DRIVE, SUITE 101, WEST GROVE CLINIC, LLC, WAUWATOSA, WI 53222
(414) 810-4844
(414) 810-4845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13018
WI
104100000X
Social Worker
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024752
—
WI
05
—
42019700
—
WI
Enumeration date
06/08/2006
Last updated
11/05/2025
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