Individual
CHARISE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
Mailing address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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