Individual
MISS CARISA MARIE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, CS-IT
Contact information
Practice address
7600 W CAPITOL DR, MILWAUKEE, WI 53222-2055
(414) 905-3100
(414) 710-9260
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15446
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
15528131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15606-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376729996
—
WI
Enumeration date
01/14/2008
Last updated
04/21/2026
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