Organization
CHOICE 2 CHANGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FLANNERY (OWNER)
(414) 301-1518
Entity
Organization
Contact information
Practice address
217 WISCONSIN AVE STE 114, WAUKESHA, WI 53186-4946
(414) 301-1518
(414) 301-7498
Mailing address
217 WISCONSIN AVE STE 114, WAUKESHA, WI 53186-4946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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