Individual
MS. KENDRA A GRENADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SAC-IT
Contact information
Practice address
2727 W CLEVELAND AVE STE 204, MILWAUKEE, WI 53215-2956
(414) 269-8356
(414) 455-1915
Mailing address
2727 W CLEVELAND AVE STE 204, MILWAUKEE, WI 53215-2956
(414) 269-8356
(414) 455-1915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18022-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18022-130
SAC-IT
WI
Enumeration date
11/29/2022
Last updated
11/29/2022
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