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Individual

MR. HOWARD R THIRUS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5665 N TEUTONIA AVE, MILWAUKEE, WI 53209-4149
(414) 616-2222
Mailing address
5665 N TEUTONIA AVE, MILWAUKEE, WI 53209-4149
(414) 616-2222

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
WI
101YP2500X
Professional Counselor
Primary
7904-125
WI
101YP2500X
Professional Counselor
WI

Other

Enumeration date
08/10/2016
Last updated
07/28/2020
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