Individual
REGINA HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE,CSAC
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
(414) 672-6026
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15851-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538434841
—
WI
Enumeration date
07/12/2012
Last updated
07/17/2014
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