Individual
MS. CHARLENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5501 W BURLEIGH ST, MILWAUKEE, WI 53210
(414) 828-5617
(414) 643-1018
Mailing address
5501 W BURLEIGH ST, MILWAUKEE, WI 53210-1548
(414) 828-5617
(414) 643-1018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16837-130
WI
101YP2500X
Professional Counselor
2697-226
WI
Other
Enumeration date
07/15/2016
Last updated
05/31/2018
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