Individual
MS. EILEEN G WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CSAC - ICS
Contact information
Practice address
6501 3RD AVE, KENOSHA, WI 53143-5111
(262) 456-4780
(262) 456-4780
Mailing address
6501 3RD AVE, KENOSHA, WI 53143-5111
(262) 456-4780
(262) 605-4858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11581 - 134 AND2103
WI
Other
Enumeration date
07/20/2007
Last updated
08/01/2013
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