Individual
MRS. PAMELA HOWARD BLASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
1216 N PROSPECT AVE, MILWAUKEE, WI 53202-3061
(414) 210-4841
Mailing address
1311 N 6TH ST, MILWAUKEE, WI 53212-4006
(414) 225-1512
(414) 225-1575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13880-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42015900
—
WI
Enumeration date
08/01/2006
Last updated
09/11/2025
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