Individual
MRS. MONIQUE C STACKER-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17648-130
WI
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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