Individual
DR. MARCUS CONTRELL HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.
Contact information
Practice address
10240 W NATIONAL AVE, WEST ALLIS, WI 53227-2029
(844) 280-3276
Mailing address
10240 W NATIONAL AVE, WEST ALLIS, WI 53227-2029
(844) 280-3276
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
174H00000X
Health Educator
R0059417FA
WI
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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