Individual
LAKAUSHA SHERROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6550 W MEDFORD AVE, MILWAUKEE, WI 53218-4837
(414) 375-9794
Mailing address
6550 W MEDFORD AVE, MILWAUKEE, WI 53218-4837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
8137-226
WI
Other
Enumeration date
12/03/2021
Last updated
10/02/2024
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