Individual
SHARI GRESK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2618 N BREMEN ST, MILWAUKEE, WI 53212-3003
(414) 977-1200
Mailing address
2618 N BREMEN ST, MILWAUKEE, WI 53212-3003
(414) 977-1200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
347-226
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15656-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15680-321
WI
Other
Enumeration date
02/11/2011
Last updated
09/17/2014
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