Individual
EMMA GARVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
1904 MOUNT PLEASANT ST, RACINE, WI 53404-2237
(262) 752-8709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19117-130
WI
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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