Individual
KRISTLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 643-8530
(414) 647-8602
Mailing address
5301 N TEUTONIA AVE APT 202, MILWAUKEE, WI 53209-4874
(414) 306-1692
(414) 647-8602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17236-130
WI
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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